Provider Demographics
NPI:1578171393
Name:ERINMA LLC
Entity Type:Organization
Organization Name:ERINMA LLC
Other - Org Name:ERINMA HEALTHCARE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIET
Authorized Official - Middle Name:ERINMA
Authorized Official - Last Name:MBONU
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, RN
Authorized Official - Phone:301-640-6779
Mailing Address - Street 1:1812 EAGLES RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:BROOKEVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20833-1835
Mailing Address - Country:US
Mailing Address - Phone:301-640-6779
Mailing Address - Fax:
Practice Address - Street 1:1812 EAGLES RIDGE CT
Practice Address - Street 2:
Practice Address - City:BROOKEVILLE
Practice Address - State:MD
Practice Address - Zip Code:20833-1835
Practice Address - Country:US
Practice Address - Phone:301-640-6779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-17
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR114898OtherNURSING BOARD