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NPI Code Detail

MEDICARE: MIRIAM NEST HOME CARE LLC

MEDICARE: MIRIAM NEST HOME CARE 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
1101Y00000XCounselor

General Provider Information

NPI Number : 1699602367
Entity Type Code : Organization
Provider Name (Legal Business Name) : MIRIAM NEST HOME CARE LLC
Provider Business Mailing Address
First Line : 1629 K ST NW STE 300
Second Line :
City : WASHINGTON
State : DC
Zip : 20006-1631
Country : US
Telephone Number : 443-454-9579
Fax Number :
Provider Business Practice Location Address
First Line : 1629 K ST NW STE 300
Second Line :
City : WASHINGTON
State : DC
Zip : 20006-1631
Country : US
Telephone Number : 443-454-9579
Fax Number :
Authorized Official
Title or Position : CEO
Name : FOINTAMA NSOM
Credential :
Telephone Number : 443-454-9579
Provider Enumeration Date : 05/06/2026
Last Update Date : 05/06/2026

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Directions to “MIRIAM NEST HOME CARE LLC ” Practice Location

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