KEASHA HANNAH


Address: 4139 W Forest Park Ave Fl 1, Baltimore, MD 21207-7408
Phone: 4434109544

KEASHA HANNAH (NPI# 1083246854) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083246854
Entity Type Individual
Full Name KEASHA HANNAH
Credential NURSING ASSISTANT
Practice Address 4139 W Forest Park Ave Fl 1
Baltimore
MD 21207-7408
Practice Telephone 4434109544
Mailing Telephone 4434109544
Enumeration Date 2020-02-10
Last Update Date 2020-02-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251J00000X Nursing Care MD Agencies
Y 3747P1801X Technician
Specialization: Personal Care Attendant
MD Nursing Service Related Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
4139 W Forest Park Ave Fl 1, Baltimore, MD 212077408

Office Location

Street Address 4139 W FOREST PARK AVE FL 1
City BALTIMORE
State MD
Zip Code 21207-7408

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Taxonomy Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Notes: [7/1/2003: definition added]

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Competitor

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City BALTIMORE
Zip Code 21207

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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