Healthcare Provider Details

I. General information

NPI: 1851224307
Provider Name (Legal Business Name): MINASVILLE HEALTHCARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 PARLIAMENT PLACE SUITE 430-A14
LANHAM MD
20706-1803
US

IV. Provider business mailing address

4200 PARLIAMENT PLACE SUITE 430-A14
LANHAM MD
20706-1803
US

V. Phone/Fax

Practice location:
  • Phone: 703-867-0260
  • Fax: 703-867-0260
Mailing address:
  • Phone: 703-867-0260
  • Fax: 703-867-0260

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: AMINATU TIJANI
Title or Position: CEO
Credential:
Phone: 703-867-0260