=====================================================
General NPI Number Information
=====================================================
NPI Number | 1023842945
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MUNA'S HEART NURSING SERVICES INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/02/2024
-----------------------------------------------------
Last Update Date | 06/06/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 12164 CENTRAL AVE STE 228
-----------------------------------------------------
City | MITCHELLVILLE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20721-1903
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 240-838-8911
-----------------------------------------------------
Fax | 240-304-3277
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1206 ASHLEIGH STATION CT
-----------------------------------------------------
City | BOWIE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20721-6005
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | LUCY KOROMA
-----------------------------------------------------
Credential | REGISTERED NURSE MSN
-----------------------------------------------------
Telephone | 240-324-9190
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------