Healthcare Provider Details

I. General information

NPI: 1033063094
Provider Name (Legal Business Name): RANSOME ATIA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2026
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9927 GOOD LUCK RD
LANHAM MD
20706-3257
US

IV. Provider business mailing address

9927 GOOD LUCK RD
LANHAM MD
20706-3257
US

V. Phone/Fax

Practice location:
  • Phone: 240-927-7714
  • Fax:
Mailing address:
  • Phone: 240-927-7714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA200005629
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: