Individual provider Active NPI

Steve Elad Ngongwe, HHA

  • Home Health Aide
  • Lanham, MD
National Provider Identifier
1528546967
Registry record updated Sep 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA13876 Issued in DC
Practice address
9005 Wallace Rd
Lanham, MD 20706-4211
Phone
(301) 503-2129
NPI assigned
Jul 28, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 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 HHA13876 DC Primary

Addresses

Primary practice location

9005 Wallace Rd
Lanham, MD 20706-4211

Mailing address

7715 Riverdale Rd Apt 302
New Carrollton, MD 20784-3943
Phone (301) 503-2129

Other identifiers 1

IdentifierTypeStateIssuer
HHA13876OtherDCHHA

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
HHA13876DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1532736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569801600000",
    "number": "1528546967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7715 RIVERDALE RD APT 302",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843943",
            "telephone_number": "301-503-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9005 WALLACE RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207064211",
            "telephone_number": "301-503-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGONGWE",
        "first_name": "STEVE",
        "middle_name": "ELAD",
        "credential": "HHA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-28",
        "last_updated": "2019-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA13876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HHA",
            "identifier": "HHA13876",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

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