Kenneth M Tebong, HHA

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

13920 Castle Blvd Apt 502
Silver Spring, MD 20904-4959

Phone

(202) 545-0935

Fax

(202) 545-0176

NPI assigned

Sep 25, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1083040745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13920 CASTLE BLVD APT 502",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209044959",
            "telephone_number": "202-545-0935",
            "fax_number": "202-545-0176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13920 CASTLE BLVD APT 502",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209044959",
            "telephone_number": "202-545-0935",
            "fax_number": "202-545-0176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEBONG",
        "first_name": "KENNETH",
        "middle_name": "M",
        "credential": "HHA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanslohf Forkwa Tebo
• Severin Njeck Tebo Sr.
• Tracey Ajoh Tebo
• Yvette Ateh Tebo, COTA
• Zozian Tebo
• Nadia Techwei
• Genet Teclu
• Tecqnova LLC (Dba) Saferide Nemt Services
• Mehran Teddyan
• Teen Connection

• Home Health Aide in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Home Health Aide in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.