MEDICARE: MISS NGALU HAROUN BUZOHERA HOME HEALTH AIDE

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	171M00000X	Case Manager/Care Coordinator		DC
2	374U00000X	Home Health Aide	HHA10424	DC

General Provider Information

NPI Number	:	1053886333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS NGALU HAROUN BUZOHERA HOME HEALTH AIDE

Provider Business Mailing Address
First Line	:	822 GALLOP HILL RD APT E
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20879-3650
Country	:	US
Telephone Number	:	240-330-0169
Fax Number	:

Provider Business Practice Location Address
First Line	:	1510 DECEMBER DR APT 303
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-3615
Country	:	US
Telephone Number	:	240-330-0169
Fax Number	:

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

Provider Enumeration Date	:	10/12/2018
Last Update Date	:	03/23/2026

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