Healthcare Provider Details

I. General information

NPI: 1699252304
Provider Name (Legal Business Name): FAIZA USMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2018
Last Update Date: 10/21/2022
Certification Date: 10/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6925 MAPLE ST NW
WASHINGTON DC
20012-2198
US

IV. Provider business mailing address

6925 MAPLE ST NW
WASHINGTON DC
20012-2198
US

V. Phone/Fax

Practice location:
  • Phone: 202-723-3060
  • Fax:
Mailing address:
  • Phone: 202-723-3060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberA00203487
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: