Christelle Mbayi Agien

Individual provider Active NPI Home Health Aide · Washington, DC

NPI 1326569823 · NPPES record last updated Jan 30, 2018

Key facts

NPI
1326569823
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
License
HHA12877 (DC)
Practice address
1805 Montana Ave NE
Washington, DC 20002-1859
Phone
(877) 998-4244
NPI assigned
Jul 5, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
HHA12877DCMDHome Health Aide

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA12877 DC Yes

Addresses

Primary practice location

1805 Montana Ave NE
Washington, DC 20002-1859

Mailing address

9823 Good Luck Rd Apt 8
Lanham, MD 20706-3363
Phone (240) 467-8792

Other providers in Washington, DC

All providers in Washington, DC · Home Health Aide in District of Columbia

Sources for this page

Verify at the official NPI Registry.