MEDICARE: BERHANE HAFISO TERORO

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	HHA200002580	DC
2	374U00000X	Home Health Aide	A00203331	MD

General Provider Information

NPI Number	:	1780382739
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BERHANE HAFISO TERORO

Provider Business Mailing Address
First Line	:	8014 FLOWER AVE APT 1
Second Line	:
City	:	TAKOMA PARK
State	:	MD
Zip	:	20912-6819
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9607 MCWHORTER FARM CT
Second Line	:
City	:	DAMASCUS
State	:	MD
Zip	:	20872-3302
Country	:	US
Telephone Number	:	240-405-4528
Fax Number	:

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

Provider Enumeration Date	:	02/20/2023
Last Update Date	:	06/10/2026

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Directions to “ BERHANE HAFISO TERORO ” Practice Location

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