MEDICARE: SOMATUS MARYLAND HOME TRAINING CENTER, LLC

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1013875145
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOMATUS MARYLAND HOME TRAINING CENTER, LLC

Provider Business Mailing Address
First Line	:	1861 INTERNATIONAL DR STE 600
Second Line	:
City	:	MC LEAN
State	:	VA
Zip	:	22102-4420
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8380 COLESVILLE RD STE 100A
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-6268
Country	:	US
Telephone Number	:	855-851-8354
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	ALICIA PALMER
Credential	:
Telephone Number	:	571-562-3596

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

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