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General NPI Number Information
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NPI Number | 1043160252
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Entity Type | Organization
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Legal Business Name | MDJ HOUSE AID, LLC
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 4003 ELLIS ST
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City | CAPITOL HEIGHTS
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State | MD
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Zip | 20743-5754
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Country | US
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Telephone | 301-955-6385
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Fax |
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Provider Business Mailing Address
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Address Line | 4003 ELLIS ST
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City | CAPITOL HEIGHTS
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State | MD
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Zip | 20743-5754
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Country | US
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Telephone | 301-955-6385
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Fax |
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Authorized Official
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Title or Position | OWNER/CNA
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Name | YOCELIN C CRUZ MENDOZA
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Credential | HHA
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Telephone | 202-751-5604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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