GENEVIVE WUTANG (NPI# 1700483310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700483310 |
| Entity Type | Individual |
| Full Name | GENEVIVE WUTANG |
| Practice Address |
12423 Ronald Beall Rd Upper Marlboro MD 20774-5686 |
| Practice Telephone | 2408289004 |
| Mailing Telephone | 2408289004 |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| Street Address |
12423 RONALD BEALL RD |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20774-5686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386259406 | Jacob Buro | Home Health Aide | 5201 Trotters Glen Dr, Upper Marlboro, MD 20772-2913 | 2020-09-15 |
| 1528673175 | Laura Mukum | Home Health Aide | 658 Harry S Truman Dr, Upper Marlboro, MD 20774-2069 | 2020-09-10 |
| 1881208486 | Alvine C Nono | Home Health Aide | 1500 Southern Springs Ln, Upper Marlboro, MD 20774-6088 | 2020-09-02 |
| 1851909840 | Nadege Manyi Bah Muya | Home Health Aide | 10826 Sugar Maple Ter, Upper Marlboro, MD 20774-1322 | 2020-07-16 |
| 1669090601 | Timothy Campbell | Home Health Aide | 807 Falcon Dr, Upper Marlboro, MD 20774-5738 | 2020-07-07 |
| 1508405002 | Adeline Ngwepuh Chofong | Home Health Aide | 49 Herrington Dr, Upper Marlboro, MD 20774-1545 | 2019-12-31 |
| 1912549957 | Napthali Fonsah | Home Health Aide | 3208 Winter Park Ct, Upper Marlboro, MD 20774-7550 | 2019-10-10 |
| 1811545288 | Odilia S Nayah | Home Health Aide | 3218 Winter Park Ct, Upper Marlboro, MD 20774-7550 | 2019-08-29 |
| 1770138596 | Vivian Ntoko | Home Health Aide | 714 Narrowleaf Dr, Upper Marlboro, MD 20774-2374 | 2019-08-08 |
| 1003477027 | Briget P Ngampa | Home Health Aide | 243 Harry S Truman Dr Apt 23, Upper Marlboro, MD 20774-2025 | 2019-06-21 |
| Find all providers in UPPER MARLBORO | ||||
| City | UPPER MARLBORO |
| Zip Code | 20774 |
Please comment or provide details below to improve the information on GENEVIVE WUTANG.
| 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.