Healthcare Provider Details

I. General information

NPI: 1912673773
Provider Name (Legal Business Name): HOSTENSIA A NJORH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2021
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7745 RIVERDALE RD
NEW CARROLLTON MD
20784-3920
US

IV. Provider business mailing address

7745 RIVERDALE RD
NEW CARROLLTON MD
20784-3920
US

V. Phone/Fax

Practice location:
  • Phone: 240-481-3085
  • Fax:
Mailing address:
  • Phone: 240-481-3085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: