Individual provider Active NPI

Meaza Berhe, HOME HEALTH AID

  • Home Health Aide
  • Washington, DC
National Provider Identifier
1245742592
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA11937 Issued in DC
Practice address
4809 Georgia Ave NW Ste 113
Washington, DC 20011-4533
Phone
(202) 291-0717
Fax
(202) 808-2427
NPI assigned
Oct 26, 2017
Last updated
Oct 26, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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 HHA11937 DC Primary

Addresses

Primary practice location

4809 Georgia Ave NW Ste 113
Washington, DC 20011-4533

Mailing address

4809 Georgia Ave NW Ste 113
Washington, DC 20011-4533
Phone (202) 291-0717

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
HHA11937DCMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Community Home Health Services Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1508976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1245742592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 GEORGIA AVE NW STE 113",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200114533",
            "telephone_number": "202-291-0717",
            "fax_number": "202-808-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 GEORGIA AVE NW STE 113",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200114533",
            "telephone_number": "202-291-0717",
            "fax_number": "202-808-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERHE",
        "first_name": "MEAZA",
        "name_prefix": "Ms.",
        "credential": "HOME HEALTH AID",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA11937",
            "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 Oct 26, 2017; 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.