KENNETH EDIMO HHA
NPI 1487085429
Home Health Aide in Lanham, MD

Active since December 02, 2013
9755 GOOD LUCK RD APT 4, LANHAM, MD 20706(703) 606-3503(202) 545-0934 Get Directions Write a Review

NPPES record last updated: December 2, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Home Health Aide

About KENNETH EDIMO

This page provides the complete NPI Profile along with additional information for Kenneth Edimo, a provider established in Lanham, Maryland with a medical specialization in Home Health Aide. The healthcare provider is registered in the NPI registry with number 1487085429 assigned on December 2013. The practitioner's primary taxonomy code is 374U00000X. The provider is registered as an individual and his NPI record was last updated 13 years ago.

NPI
1487085429 Verify this NPI
Provider Name
KENNETH EDIMO HHA
Gender
Male
Entity Type
Individual
Location Address
9755 GOOD LUCK RD APT 4 LANHAM, MD 20706
Location Phone
(703) 606-3503
Location Fax
(202) 545-0934
Mailing Address
9755 GOOD LUCK RD APT 4 LANHAM, MD 20706
Mailing Phone
(703) 606-3503
Mailing Fax
(202) 545-0934
Is Sole Proprietor?
Yes
Enumeration Date
12-02-2013
Last Update Date
12-02-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health Aide

Taxonomy Code
374U00000X
Type
Nursing Service Related Providers
Taxonomy Description
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487085429, enumerated as an "individual" on December 02, 2013.

The provider is located at 9755 GOOD LUCK RD APT 4 LANHAM, MD 20706 and the phone number is (703) 606-3503.

Home Health Aide with taxonomy code 374U00000X.