Healthcare Provider Details

I. General information

NPI: 1053045369
Provider Name (Legal Business Name): HARRIAH KAIYOUWAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2022
Last Update Date: 07/12/2022
Certification Date: 07/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8757 GEORGIA AVE
SILVER SPRING MD
20910-3737
US

IV. Provider business mailing address

8757 GEORGIA AVE
SILVER SPRING MD
20910-3737
US

V. Phone/Fax

Practice location:
  • Phone: 301-652-7212
  • Fax:
Mailing address:
  • Phone: 240-557-9518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: