Provider Demographics
NPI:1306237607
Name:OSAGIATOR, HELEN
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:
Last Name:OSAGIATOR
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 1:3316 BUCHANAN ST APT 301
Mailing Address - Street 2:
Mailing Address - City:MOUNT RAINIER
Mailing Address - State:MD
Mailing Address - Zip Code:20712-1112
Mailing Address - Country:US
Mailing Address - Phone:240-550-1182
Mailing Address - Fax:
Practice Address - Street 1:3316 BUCHANAN ST APT 301
Practice Address - Street 2:
Practice Address - City:MOUNT RAINIER
Practice Address - State:MD
Practice Address - Zip Code:20712-1112
Practice Address - Country:US
Practice Address - Phone:240-550-1182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-09
Last Update Date:2015-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDHHA9119374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDHHA9119OtherHOME HEALTH AIDE