MEDICARE: ROBERTINE MANEFO

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	CNA20202644	MD
2	374U00000X	Home Health Aide	HHA200001439	DC

General Provider Information

NPI Number	:	1407442791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERTINE MANEFO

Provider Business Mailing Address
First Line	:	1301 RUPPERT RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-1025
Country	:	US
Telephone Number	:	619-243-4659
Fax Number	:

Provider Business Practice Location Address
First Line	:	1301 RUPPERT RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20903-1025
Country	:	US
Telephone Number	:	619-243-4659
Fax Number	:

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

Provider Enumeration Date	:	12/21/2020
Last Update Date	:	05/13/2026

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Directions to “ ROBERTINE MANEFO ” Practice Location

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