MEDICARE: MDJ HOUSE AID, 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	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1043160252
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MDJ HOUSE AID, LLC

Provider Business Mailing Address
First Line	:	4003 ELLIS ST
Second Line	:
City	:	CAPITOL HEIGHTS
State	:	MD
Zip	:	20743-5754
Country	:	US
Telephone Number	:	301-955-6385
Fax Number	:

Provider Business Practice Location Address
First Line	:	4003 ELLIS ST
Second Line	:
City	:	CAPITOL HEIGHTS
State	:	MD
Zip	:	20743-5754
Country	:	US
Telephone Number	:	301-955-6385
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CNA
Name	:	YOCELIN C CRUZ MENDOZA
Credential	:	HHA
Telephone Number	:	202-751-5604

Provider Enumeration Date	:	01/29/2026
Last Update Date	:	02/05/2026

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