Provider Demographics
NPI:1386145001
Name:BANKASHE, LIKNESH L (HOME HEALTH AIDE)
Entity type:Individual
Prefix:
First Name:LIKNESH
Middle Name:L
Last Name:BANKASHE
Suffix:
Gender:F
Credentials:HOME HEALTH AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1500 OGDEN ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-1235
Mailing Address - Country:US
Mailing Address - Phone:240-478-0092
Mailing Address - Fax:
Practice Address - Street 1:1500 OGDEN ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-1235
Practice Address - Country:US
Practice Address - Phone:240-478-0092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-27
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide