Emmanuel Asaha Jijong
Individual provider Active NPI Home Health Aide · Glenarden, MD
NPI 1194480608 · NPPES record last updated Nov 11, 2021
Key facts
- NPI
- 1194480608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- License
- HHA200001337 (DC)
- Practice address
- 3635 Cousins Dr
Glenarden, MD 20774-2600 - Phone
- (240) 476-9651
- NPI assigned
- Nov 1, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HHA200001337 | DC | MD | Home Health Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | HHA200001337 | DC | Yes |
Addresses
Primary practice location
3635 Cousins Dr
Glenarden, MD 20774-2600
Mailing address
3635 Cousins Dr
Glenarden, MD 20774-2600
Phone (240) 476-9651
Other providers in Glenarden, MD
- Regina Isha Ibrahim
- Imelda'S Elderly Care, LLC
- Rosemary Uduak Inwang
- Rodney Jackson
- Saffiatu Jalloh
- Tracey Tolbert Jones
- Trinity Alexis Nikole Jones
- Tonia Kamara
- Yankay Kargbo
- Lindsey C Kebeck
All providers in Glenarden, MD · Home Health Aide in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.