Healthcare Provider Details

I. General information

NPI: 1932031580
Provider Name (Legal Business Name): ROSALINE ENJOH AMAH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8587 GREENBELT RD APT 204
GREENBELT MD
20770-2351
US

IV. Provider business mailing address

8587 GREENBELT RD APT 204
GREENBELT MD
20770-2351
US

V. Phone/Fax

Practice location:
  • Phone: 240-723-5611
  • Fax:
Mailing address:
  • Phone: 240-723-5611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA200006369
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: