Healthcare Provider Details

I. General information

NPI: 1306284427
Provider Name (Legal Business Name): BELKIS MARIA VILLAFANA HHA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2013
Last Update Date: 06/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1731 BUNKER HILL RD NE SUITE 269
WASHINGTON DC
20017-3026
US

IV. Provider business mailing address

11824 VALLEYWOOD DR
SILVER SPRING MD
20902-2233
US

V. Phone/Fax

Practice location:
  • Phone: 202-635-5756
  • Fax: 202-635-5780
Mailing address:
  • Phone: 240-383-8562
  • Fax: 202-635-5756

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHCA-0035
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: