Healthcare Provider Details
I. General information
NPI: 1902567100
Provider Name (Legal Business Name): ROSE NCHO SIKOD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/10/2022
Last Update Date: 07/01/2025
Certification Date: 07/01/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
500 BURNT MILLS AVE
SILVER SPRING MD
20901-4504
US
IV. Provider business mailing address
500 BURNT MILLS AVE
SILVER SPRING MD
20901-4504
US
V. Phone/Fax
- Phone: 202-544-8090
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 376K00000X |
| Taxonomy | Nurse's Aide |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | HHA200003382 |
| License Number State | DC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: