Healthcare Provider Details
I. General information
NPI: 1194966069
Provider Name (Legal Business Name): NARAYAN HUGGINS CNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/23/2009
Last Update Date: 03/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
607 UNIVERSITY BLVD W
SILVER SPRING MD
20901-4626
US
IV. Provider business mailing address
8662 PINEY BRANCH RD APT. 304
SILVER SPRING MD
20901-3901
US
V. Phone/Fax
- Phone: 301-592-0920
- Fax: 301-592-0921
- Phone: 240-355-6038
- Fax: 301-592-0921
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | NA00802400 |
| License Number State | DC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | A00069159 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: