MEDICARE: ALLIED GRATITUDE HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1558216861
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLIED GRATITUDE HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	2201 ELGIN CT
Second Line	:
City	:	WALDORF
State	:	MD
Zip	:	20602-1620
Country	:	US
Telephone Number	:	703-232-5239
Fax Number	:	703-665-3121

Provider Business Practice Location Address
First Line	:	2201 ELGIN CT
Second Line	:
City	:	WALDORF
State	:	MD
Zip	:	20602-1620
Country	:	US
Telephone Number	:	703-232-5239
Fax Number	:	703-665-3121

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	EUNICE MUFUSHI
Credential	:	RN BSN ADMINISTRATOR
Telephone Number	:	703-232-5239

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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