Nelson Tachi

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HHA200002151 Issued in DC

Practice address

13830 Castle Blvd Apt 302
Silver Spring, MD 20904-7366

Phone

(024) 362-2162

NPI assigned

Nov 16, 2021

Last updated

Jun 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1326704164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13830 CASTLE BLVD APT 302",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047366",
            "telephone_number": "024-362-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13830 CASTLE BLVD APT 302",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209047366",
            "telephone_number": "024-362-2162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACHI",
        "first_name": "NELSON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-16",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA200002151",
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MD",
            "license": "A00198962",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• T.S. Trask Inc (Innovative Clinical Associates)
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• Bridgwater Taangue, HHA
• Emelda Tabe Epse Eyong
• Marie Tabi Orock
• Tigest Tesfaw Tadege
• Birhane D Tadesse
• Hiwot Z Tadesse
• Yared T Tadesse, M.D
• Bennett Zion Taff, DMD

• 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 Jun 19, 2024; 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.