Healthcare Provider Details

I. General information

NPI: 1144936527
Provider Name (Legal Business Name): TRUFAT MINASE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2023
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1915 ROSEMARY HILLS DR UNIT R1
SILVER SPRING MD
20910-2454
US

IV. Provider business mailing address

1915 ROSEMARY HILLS DR UNIT R1
SILVER SPRING MD
20910-2454
US

V. Phone/Fax

Practice location:
  • Phone: 240-860-3593
  • Fax:
Mailing address:
  • Phone: 240-478-4859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA200005850
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: