Individual provider Active NPI

Freddy Epoh Manyaka

  • Home Health Aide
  • Takoma Park, MD
National Provider Identifier
1407335342
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA13881 Issued in DC
Practice address
6733 New Hampshire Ave
Apt.1210
Takoma Park, MD 20912-2091
Phone
(240) 877-3004
NPI assigned
Aug 10, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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 HHA13881 DC Primary

Addresses

Primary practice location

6733 New Hampshire Ave
Apt.1210
Takoma Park, MD 20912-2091

Mailing address

6733 New Hampshire Ave Apt 1210
Takoma Park, MD 20912-2862
Phone (240) 877-3004

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
HHA13881DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1407335342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6733 NEW HAMPSHIRE AVE APT 1210",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209122862",
            "telephone_number": "240-877-3004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6733 NEW HAMPSHIRE AVE",
            "address_2": "APT.1210",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209122091",
            "telephone_number": "240-877-3004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPOH MANYAKA",
        "first_name": "FREDDY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA13881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.