Healthcare Provider Details

I. General information

NPI: 1003738444
Provider Name (Legal Business Name): BEATRICE LEKE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11505 CARRIAGE CROSSING DR
UPPER MARLBORO MD
20772-3166
US

IV. Provider business mailing address

11505 CARRIAGE CROSSING DR
UPPER MARLBORO MD
20772-3166
US

V. Phone/Fax

Practice location:
  • Phone: 781-346-4872
  • Fax:
Mailing address:
  • Phone: 781-346-4872
  • 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: