Individual provider Active NPI

Eshetue Muluneh, HHA

  • Home Health Aide
  • Hyattsivell, MD
National Provider Identifier
1013363282
Registry record updated May 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA12005 Issued in DC
Practice address
6405 Elliott PL
Hyattsivell, MD 20783
Phone
(202) 421-8187
NPI assigned
May 6, 2016
Last updated
May 6, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA12005 DC Primary

Addresses

Primary practice location

6405 Elliott PL
Hyattsivell, MD 20783

Mailing address

6405 Elliott PL
Hyattsville, MD 20783-5007
Phone (202) 421-8187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HHA12005DCMDHome Health Aide

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1013363282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 ELLIOTT PL",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207835007",
            "telephone_number": "202-421-8187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 ELLIOTT PL",
            "city": "HYATTSIVELL",
            "state": "MD",
            "postal_code": "20783",
            "telephone_number": "202-421-8187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULUNEH",
        "first_name": "ESHETUE",
        "credential": "HHA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-06",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA12005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.