Provider Demographics
NPI:1316664113
Name:NDI, ERIC M (HOME HEALTH AIDE)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:M
Last Name:NDI
Suffix:
Gender:
Credentials:HOME HEALTH AIDE
Other - Prefix:
Other - First Name:ERIC
Other - Middle Name:M
Other - Last Name:DNI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7751 RIVERDALE RD APT 103
Mailing Address - Street 2:
Mailing Address - City:NEW CARROLLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784-3916
Mailing Address - Country:US
Mailing Address - Phone:130-172-3101
Mailing Address - Fax:
Practice Address - Street 1:7751 RIVERDALE RD APT 103
Practice Address - Street 2:
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-3916
Practice Address - Country:US
Practice Address - Phone:301-723-1016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-21
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172V00000X, 171M00000X
DCHHA200002229374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172V00000XOther Service ProvidersCommunity Health Worker
No374U00000XNursing Service Related ProvidersHome Health Aide