Provider Demographics
NPI:1568061554
Name:MERRITT, HASSIE LEON
Entity Type:Individual
Prefix:MR
First Name:HASSIE
Middle Name:LEON
Last Name:MERRITT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:278 15TH ST SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-2336
Mailing Address - Country:US
Mailing Address - Phone:240-838-2091
Mailing Address - Fax:
Practice Address - Street 1:2515 ALABAMA AVE SE APT 214
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-3240
Practice Address - Country:US
Practice Address - Phone:202-582-0495
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide