MEDICARE: D.A. HEALTHCARE INNOVATIONS L.L.C.

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	163WH0200X	Home Health Registered Nurse

General Provider Information

NPI Number	:	1780541557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	D.A. HEALTHCARE INNOVATIONS L.L.C.

Provider Business Mailing Address
First Line	:	26 GREENWOOD CT
Second Line	:
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-2047
Country	:	US
Telephone Number	:	443-551-5089
Fax Number	:

Provider Business Practice Location Address
First Line	:	26 GREENWOOD CT
Second Line	:
City	:	GLEN BURNIE
State	:	MD
Zip	:	21061-2047
Country	:	US
Telephone Number	:	443-551-5089
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	DANIEL FONJUNGO
Credential	:	RN
Telephone Number	:	443-551-5089

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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