MEDICARE: SIMKY RESTORATION HEALTHCARE SERVICES

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	:	1932051802
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIMKY RESTORATION HEALTHCARE SERVICES

Provider Business Mailing Address
First Line	:	1930 18TH ST NW STE B2 #1070
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4640 FORBES BLVD.
Second Line	:	STE 120R
City	:	LANHAM
State	:	MD
Zip	:	20706
Country	:	US
Telephone Number	:	301-678-4774
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	FLORENCE ODAKA
Credential	:
Telephone Number	:	301-678-4774

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/17/2026

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