Provider Demographics
NPI:1215731948
Name:HAMPTON, MONICA
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:HAMPTON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12813 PINE TREE LN
Mailing Address - Street 2:
Mailing Address - City:FORT WASHINGTON
Mailing Address - State:MD
Mailing Address - Zip Code:20744-5355
Mailing Address - Country:US
Mailing Address - Phone:240-355-5092
Mailing Address - Fax:
Practice Address - Street 1:5290 SHAWNEE RD STE 200
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22312-2381
Practice Address - Country:US
Practice Address - Phone:240-355-5092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-02
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care