Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samara Kache Wallace

Individual provider Personal Care Attendant · NPI 1154960177

Samara Kache Wallace is a Personal Care Attendant in Capitol Heights, Maryland. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2

Practice location Address checks out

634 Capitol Heights Blvd
Capitol Heights, MD 20743-2901
Phone: (202) 839-6862
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse's Aide (primary) Taxonomy 376K00000X
Personal Care Attendant Taxonomy 3747P1801X

Record details

NPI number1154960177
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 23, 2019
Last updated in NPPESDecember 23, 2019
Certification dateDecember 23, 2019
Mailing address634 Capitol Heights Blvd, Capitol Heights, MD 20743-2901

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