Healthcare Provider Details
I. General information
NPI: 1386584159
Provider Name (Legal Business Name): MEDISHAA CARING HEALTHCARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3901 CALVERTON BLVD STE 250
CALVERTON MD
20705-3407
US
IV. Provider business mailing address
3901 CALVERTON BLVD STE 250
CALVERTON MD
20705-3407
US
V. Phone/Fax
- Phone: 703-531-7453
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AISHA
BUNDU-WURIE
Title or Position: OWNER
Credential:
Phone: 703-531-7453