Healthcare Provider Details

I. General information

NPI: 1295269041
Provider Name (Legal Business Name): FOLASHADE H AINA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2017
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8900 MERRILL LN APT 102
LAUREL MD
20708-2025
US

IV. Provider business mailing address

8900 MERRILL LN APT 102
LAUREL MD
20708-2025
US

V. Phone/Fax

Practice location:
  • Phone: 240-444-9575
  • Fax:
Mailing address:
  • Phone: 240-444-9575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN500339045
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA12541
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: