MEDICARE: IMELDA CHE 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
2	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1871850842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IMELDA CHE HHA

Provider Business Mailing Address
First Line	:	7723 RIVERDALE RD APT 202
Second Line	:
City	:	NEW CARROLLTON
State	:	MD
Zip	:	20784-3950
Country	:	US
Telephone Number	:	301-300-1566
Fax Number	:

Provider Business Practice Location Address
First Line	:	4404 TWIN OAK CT
Second Line	:
City	:	LANHAM
State	:	MD
Zip	:	20706-1935
Country	:	US
Telephone Number	:	202-545-0935
Fax Number	:

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

Provider Enumeration Date	:	04/16/2012
Last Update Date	:	07/27/2023

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Directions to “ IMELDA CHE HHA” Practice Location

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