Healthcare Provider Details

I. General information

NPI: 1568371227
Provider Name (Legal Business Name): SK SUPPORT BROKER SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4233 TALMADGE CIR
SUITLAND MD
20746-4391
US

IV. Provider business mailing address

4233 TALMADGE CIR
SUITLAND MD
20746-4391
US

V. Phone/Fax

Practice location:
  • Phone: 301-848-1884
  • Fax:
Mailing address:
  • Phone: 301-848-1884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHIRLEY KNIGHT-NJOYA
Title or Position: CEO
Credential:
Phone: 301-848-1884