Healthcare Provider Details

I. General information

NPI: 1881510592
Provider Name (Legal Business Name): SARA TESFAY ZEWDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1409 SILO WAY
SILVER SPRING MD
20905-6071
US

IV. Provider business mailing address

1409 SILO WAY
SILVER SPRING MD
20905-6071
US

V. Phone/Fax

Practice location:
  • Phone: 717-215-5468
  • Fax:
Mailing address:
  • Phone: 717-215-5468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA200006560
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: