MEDICARE: LATICIA ALICIA ROGERS

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	251E00000X	Home Health Agency	NRSA140094	MD

General Provider Information

NPI Number	:	1881527380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LATICIA ALICIA ROGERS

Provider Business Mailing Address
First Line	:	1159 HARVARD RD
Second Line	:
City	:	WALDORF
State	:	MD
Zip	:	20602-3414
Country	:	US
Telephone Number	:	240-605-1425
Fax Number	:

Provider Business Practice Location Address
First Line	:	1159 HARVARD RD
Second Line	:
City	:	WALDORF
State	:	MD
Zip	:	20602-3414
Country	:	US
Telephone Number	:	240-605-1425
Fax Number	:

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

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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