Healthcare Provider Details

I. General information

NPI: 1760133508
Provider Name (Legal Business Name): SAMBETH HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2022
Last Update Date: 01/13/2022
Certification Date: 01/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2311 PATTERNBOND DR
SILVER SPRING MD
20902-4164
US

IV. Provider business mailing address

2311 PATTERNBOND DR
SILVER SPRING MD
20902-4164
US

V. Phone/Fax

Practice location:
  • Phone: 301-792-2509
  • Fax: 301-649-0579
Mailing address:
  • Phone: 301-792-2509
  • Fax: 301-649-0579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH ASIAMAH
Title or Position: OWNER
Credential:
Phone: 301-792-2509