Healthcare Provider Details

I. General information

NPI: 1609684224
Provider Name (Legal Business Name): MAICARE CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2024
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5600 RIVERTECH CT STE G
RIVERDALE MD
20737-1354
US

IV. Provider business mailing address

2490 MARKET ST NE STE 603
WASHINGTON DC
20018-3851
US

V. Phone/Fax

Practice location:
  • Phone: 240-310-9289
  • Fax: 202-221-3033
Mailing address:
  • Phone: 240-310-9289
  • Fax: 202-221-3033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. VERNICIA A EDMOND
Title or Position: NURSE PRACTITIONER
Credential: FNP-BC
Phone: 240-310-9289