Healthcare Provider Details

I. General information

NPI: 1316203011
Provider Name (Legal Business Name): AA CARE AND KINDNESS SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2012
Last Update Date: 04/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3225 VERONA DRIVE
SILVER SPING MD
20906
US

IV. Provider business mailing address

PO BOX 9481
SILVER SPRING MD
20916-9481
US

V. Phone/Fax

Practice location:
  • Phone: 301-871-7886
  • Fax: 301-871-7886
Mailing address:
  • Phone: 301-871-7886
  • Fax: 301-871-7886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberD0056752
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberD0056752
License Number StateMD

VIII. Authorized Official

Name: MS. NAZNIN ESPHANI
Title or Position: DIRECTOR
Credential:
Phone: 301-871-7886