Healthcare Provider Details

I. General information

NPI: 1033014352
Provider Name (Legal Business Name): NERIYAH HOME HEALTH CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13008 3RD ST
BOWIE MD
20720-3734
US

IV. Provider business mailing address

13008 3RD ST
BOWIE MD
20720-3734
US

V. Phone/Fax

Practice location:
  • Phone: 301-920-4323
  • Fax:
Mailing address:
  • Phone: 301-920-4323
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. CHRISTINE DESHIELD
Title or Position: OWNER
Credential:
Phone: 301-806-8107