MEDICARE: MEDSTAR HEALTH VISITING NURSE ASSOCIATION, INC.

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	HH7068	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	58469702	OTHER	BCBS OF MARYLAND
4	58469702	OTHER	CAREFIRST NASCO
5	779	OTHER	BCBS NCA
6	478204	OTHER	AETNA
7	68972	OTHER	AMERICAID
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790899524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDSTAR HEALTH VISITING NURSE ASSOCIATION, INC.

Provider Business Mailing Address
First Line	:	6404 IVY LN STE 110
Second Line	:
City	:	GREENBELT
State	:	MD
Zip	:	20770-1416
Country	:	US
Telephone Number	:	240-965-3300
Fax Number	:	240-965-2919

Provider Business Practice Location Address
First Line	:	5235 KING AVE FL 4
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21237-4068
Country	:	US
Telephone Number	:	410-933-2900
Fax Number	:	410-933-2904

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. TRACI K ANDERSON-ARAUJO
Credential	:
Telephone Number	:	443-812-8131

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	01/21/2026

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