Healthcare Provider Details

I. General information

NPI: 1962226951
Provider Name (Legal Business Name): AMINA HOME CARE BILLING & REFERRAL AGENCY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2024
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22940 ARORA HILLS DR
CLARKSBURG MD
20871-3322
US

IV. Provider business mailing address

1 RESEARCH CT STE 450
ROCKVILLE MD
20850-6252
US

V. Phone/Fax

Practice location:
  • Phone: 301-519-8049
  • Fax: 301-519-8001
Mailing address:
  • Phone: 301-519-8049
  • Fax: 301-519-8001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: RADDIE PERRY
Title or Position: OWNER
Credential:
Phone: 301-519-8049