MEDICARE: FNU AERIEL AGAH ACHU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	374U00000X	Home Health Aide
2	171M00000X	Case Manager/Care Coordinator
3	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1003644568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FNU AERIEL AGAH ACHU

Provider Business Mailing Address
First Line	:	13818 CASTLE BLVD APT 202
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-7340
Country	:	US
Telephone Number	:	240-505-6457
Fax Number	:

Provider Business Practice Location Address
First Line	:	13818 CASTLE BLVD APT 202
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-7340
Country	:	US
Telephone Number	:	240-505-6457
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2024
Last Update Date	:	12/15/2025

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