Healthcare Provider Details

I. General information

NPI: 1588095079
Provider Name (Legal Business Name): STELLA MUNEH HHA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2013
Last Update Date: 12/30/2024
Certification Date: 12/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9236 WHISKEY BOTTOM RD
LAUREL MD
20723-1326
US

IV. Provider business mailing address

14104 CASTLE BLVD APT 202
SILVER SPRING MD
20904-4631
US

V. Phone/Fax

Practice location:
  • Phone: 240-478-2518
  • Fax: 202-545-0934
Mailing address:
  • Phone: 240-478-2518
  • Fax: 202-545-0934

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN1062551
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: