Individual provider Active NPI

Valentin Boueyeu Ngaleu

  • Home Health Aide
  • Washington, DC
National Provider Identifier
1205475977
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA9417 Issued in DC
Practice address
161 Joliet St SW Apt 101
Washington, DC 20032-1808
Phone
(301) 768-2841
NPI assigned
Dec 30, 2019
Last updated
Dec 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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 HHA9417 DC Primary

Addresses

Primary practice location

161 Joliet St SW Apt 101
Washington, DC 20032-1808

Mailing address

1202 Myrtle Ave Apt 202
Takoma Park, MD 20912-6507
Phone (301) 768-2841

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
HHA9417DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1577664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1205475977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 MYRTLE AVE APT 202",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126507",
            "telephone_number": "301-768-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 JOLIET ST SW APT 101",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200321808",
            "telephone_number": "301-768-2841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUEYEU NGALEU",
        "first_name": "VALENTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-30",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA9417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Dec 30, 2019; 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.