Individual provider Active NPI

Endam Mudoh Gracous

  • Home Health Aide
  • Washington, DC
National Provider Identifier
1033758149
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA14849 Issued in DC
Practice address
2041 Martin Luther King Jr Ave SE Ste 201
Washington, DC 20020-7026
Phone
(877) 659-4500
NPI assigned
Jan 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA14849 DC Primary
Personal Care Attendant 3747P1801X

Addresses

Primary practice location

2041 Martin Luther King Jr Ave SE Ste 201
Washington, DC 20020-7026

Mailing address

2041 Martin Luther King Jr Ave SE Ste 201
Washington, DC 20020-7026
Phone (877) 659-4500

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 2025263535

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
HHA14849DCMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Healthcare Services, LLC PastSince Jan 1, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1033758149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2041 MARTIN LUTHER KING JR AVE SE STE 201",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200207026",
            "telephone_number": "877-659-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2041 MARTIN LUTHER KING JR AVE SE STE 201",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200207026",
            "telephone_number": "877-659-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACOUS",
        "first_name": "ENDAM",
        "middle_name": "MUDOH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-06",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA14849",
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "2025263535",
            "affiliation": "N",
            "address_1": "2010 Rhode Island Ave NE",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200182835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.