MEDICARE: MS. LATRICE M HUGHES CAREGIVER

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	106S00000X	Behavior Technician	MD
2	3747A0650X	Attendant Care Provider	MD
3	3747P1801X	Personal Care Attendant	MD
4	374K00000X	Religious Nonmedical Practitioner	MD
5	376J00000X	Homemaker	MD
6	374U00000X	Home Health Aide	MD

General Provider Information

NPI Number	:	1013862366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LATRICE M HUGHES CAREGIVER

Provider Business Mailing Address
First Line	:	2621 SOUTHERN AVE APT 102
Second Line	:
City	:	TEMPLE HILLS
State	:	MD
Zip	:	20748-1056
Country	:	US
Telephone Number	:	615-900-6458
Fax Number	:

Provider Business Practice Location Address
First Line	:	2621 SOUTHERN AVE APT 102
Second Line	:
City	:	TEMPLE HILLS
State	:	MD
Zip	:	20748-1056
Country	:	US
Telephone Number	:	615-900-6458
Fax Number	:

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

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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