MEDICARE: BRENDA LEE THOMAS

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	251E00000X	Home Health Agency	DC
2	251E00000X	Home Health Agency
3	251J00000X	Nursing Care Agency
4	374U00000X	Home Health Aide

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528318433
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA LEE THOMAS

Provider Business Mailing Address
First Line	:	1335 SARATOGA AVE NE APT 1
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20018-1937
Country	:	US
Telephone Number	:	202-455-2800
Fax Number	:

Provider Business Practice Location Address
First Line	:	2312 RHODE ISLAND AVE NE.
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20018-1937
Country	:	US
Telephone Number	:	202-635-6006
Fax Number	:	202-636-1936

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

Provider Enumeration Date	:	09/18/2012
Last Update Date	:	09/18/2012

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Directions to “ BRENDA LEE THOMAS ” Practice Location

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