MEDICARE: RESILIENT 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
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1982490645
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESILIENT LLC

Provider Business Mailing Address
First Line	:	152 LIRIOPE PL
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20878-4051
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 K ST NW # 251
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20005-1209
Country	:	US
Telephone Number	:	240-551-4365
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	IDA JENG
Credential	:
Telephone Number	:	240-551-4365

Provider Enumeration Date	:	04/17/2025
Last Update Date	:	04/17/2025

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Directions to “RESILIENT LLC ” Practice Location

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