MEDICARE: JAROMA DISTINCT CARE INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251J00000X	Nursing Care Agency
3	253Z00000X	In Home Supportive Care Agency
4	385H00000X	Respite Care
5	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1922866383
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAROMA DISTINCT CARE INC

Provider Business Mailing Address
First Line	:	15800 PERKINS LN
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20716-1641
Country	:	US
Telephone Number	:	240-929-4276
Fax Number	:	240-334-2851

Provider Business Practice Location Address
First Line	:	15800 PERKINS LN
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20716-1641
Country	:	US
Telephone Number	:	240-929-4276
Fax Number	:	240-334-2851

Authorized Official
Title or Position	:	CEO
Name	:	RITA EMANKWA ELAD
Credential	:	RN
Telephone Number	:	240-550-3685

Provider Enumeration Date	:	03/11/2024
Last Update Date	:	03/11/2024

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Directions to “JAROMA DISTINCT CARE INC ” Practice Location

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