QUINTA MANJO MUKOM
NPI 1083572838
Home Health Aide in Glenn Dale, MD

Q: What is Quinta Mukom's NPI number?

The NPI number for Quinta Mukom is 1083572838. It was assigned to this individual provider in the NPPES registry on January 12, 2026.

Q: What is Quinta Mukom's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

Q: When was this NPI record last updated?

The NPPES record for Quinta Mukom was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 12, 2026

6911 FOUNTAIN PARK DR, GLENN DALE, MD 20769(301) 850-8402 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Quinta Manjo Mukom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QUINTA MANJO MUKOM (NPI 1083572838) is an individual home health aide in Glenn Dale, Maryland and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1083572838

Entity TypeIndividualFemale

Primary Taxonomy374U00000X

Provider Legal NameQUINTA MANJO MUKOM

Location Address6911 FOUNTAIN PARK DRGlenn Dale, MD 20769-9484

Mailing Address6911 Fountain Park DrGlenn Dale, MD 20769-9484 · (301) 850-8402

Phone(301) 850-8402

Sole ProprietorNo

Enumeration DateJanuary 12, 2026

NPPES CertifiedJanuary 12, 2026

✔ NPI 1083572838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers

Taxonomy Code374U00000X

Definition

A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

6911 FOUNTAIN PARK DR, Glenn Dale, MD 20769

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DERICK T MUKOM

Case Manager/Care Coordinator

6911 FOUNTAIN PARK DR
GLENN DALE, MD 20769

Prince George's County (832) 988-8970

ALAINGIERECE NKAMENKEEN

Case Manager/Care Coordinator

6911 FOUNTAIN PARK DR
GLENN DALE, MD 20769

Prince George's County (240) 556-8000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Quinta Mukom's NPI number?

The NPI number for Quinta Mukom is 1083572838. It was assigned to this individual provider in the NPPES registry on January 12, 2026.

Where is Quinta Mukom located?

Quinta Mukom practices at 6911 Fountain Park Dr, Glenn Dale, MD 20769. The listed phone number is (301) 850-8402.

What is Quinta Mukom's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Quinta Mukom was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.