Individual provider Active NPI

Cronicle Chia Ghia Nkwain

  • Home Health Aide
  • Waldorf, MD
National Provider Identifier
1538099767
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
6409 Copperhead CT
Waldorf, MD 20603-4338
Phone
(240) 640-3060
NPI assigned
May 20, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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 DC Primary

Addresses

Primary practice location

6409 Copperhead CT
Waldorf, MD 20603-4338

Mailing address

6409 Copperhead CT
Waldorf, MD 20603-4338
Phone (240) 640-3060

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

NPI Registry JSON

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1538099767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6409 COPPERHEAD CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034338",
            "telephone_number": "240-640-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6409 COPPERHEAD CT",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206034338",
            "telephone_number": "240-640-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKWAIN",
        "first_name": "CRONICLE",
        "middle_name": "CHIA GHIA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; 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.