MEDICARE: ENERGIZED NURSES HOME HEALTH CARE INCORPORATED

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	253Z00000X	In Home Supportive Care Agency
2	385H00000X	Respite Care
3	385HR2055X	Child Mental Illness Respite Care
4	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1295259794
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ENERGIZED NURSES HOME HEALTH CARE INCORPORATED

Provider Business Mailing Address
First Line	:	9420 ANNAPOLIS RD STE 201
Second Line	:
City	:	LANHAM
State	:	MD
Zip	:	20706-3021
Country	:	US
Telephone Number	:	301-358-4948
Fax Number	:	301-358-1771

Provider Business Practice Location Address
First Line	:	9420 ANNAPOLIS RD STE 201
Second Line	:
City	:	LANHAM
State	:	MD
Zip	:	20706-3021
Country	:	US
Telephone Number	:	301-358-4948
Fax Number	:	301-358-1771

Authorized Official
Title or Position	:	CO-OWNER/DIRECTOR OF NURSING
Name	:	MADINATU KOROMA
Credential	:
Telephone Number	:	301-358-4948

Provider Enumeration Date	:	07/27/2017
Last Update Date	:	08/14/2020

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