MEDICARE: ALGANESH HAILEMARIAM HHA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013277847
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALGANESH HAILEMARIAM HHA

Provider Business Mailing Address
First Line	:	9505 FORT FOOTE RD
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-5704
Country	:	US
Telephone Number	:	301-567-1505
Fax Number	:

Provider Business Practice Location Address
First Line	:	9505 FORT FOOTE RD
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-2074
Country	:	US
Telephone Number	:	301-567-1505
Fax Number	:	301-567-1505

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2012
Last Update Date	:	03/17/2018

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