MEDICARE: ELIZABETH PALOMINO HHA

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	374U00000X	Home Health Aide	HHA13062	DC
2	3747P1801X	Personal Care Attendant

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	HHA13062	OTHER		DC GOVERNMENT

General Provider Information

NPI Number	:	1851810915
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH PALOMINO HHA

Provider Business Mailing Address
First Line	:	5728 OREGON AVE NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20015-1143
Country	:	US
Telephone Number	:	202-460-7014
Fax Number	:

Provider Business Practice Location Address
First Line	:	5728 OREGON AVE NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20015-1143
Country	:	US
Telephone Number	:	202-460-7014
Fax Number	:

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

Provider Enumeration Date	:	09/10/2017
Last Update Date	:	09/20/2024

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