Individual ProviderJerome TakusiCase Manager/Care CoordinatorOther Service ProvidersPractice Address3831 Pennsylvania Ave SE, Washington, DC 20020-1309(202) 853-4879(301) 996-8727PECOS EnrollmentBased on the most recent information from CMS, provider Jerome Takusi does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1083455687Provider TypeIndividualFull NameTakusi, JeromeGenderMaleSole ProprietorNoEnumeration Date6/5/2024Last Updated6/5/2024Contact InformationPractice LocationPractice Address3831 Pennsylvania Ave SE, Washington, DC 20020-1309Phone(202) 853-4879FaxUnlisted FaxMailing LocationMailing Address1206 White Mills Rd, Catonsville, MD 21228-2657Phone(301) 996-8727FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted Issuer