Provider Demographics
NPI:1346811478
Name:AMOSE, BABYSALINI FILOMON
Entity Type:Individual
Prefix:
First Name:BABYSALINI
Middle Name:FILOMON
Last Name:AMOSE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7900 KENNEWICK AVE APT 101
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-7419
Mailing Address - Country:US
Mailing Address - Phone:240-825-8303
Mailing Address - Fax:
Practice Address - Street 1:7900 KENNEWICK AVE APT 101
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-7419
Practice Address - Country:US
Practice Address - Phone:240-825-8303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-09
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDA00194398Medicaid