Agnes Ebagge Eneke, HHA
Individual provider Active NPI Home Health Aide · Glenarden, MD
NPI 1598513152 · NPPES record last updated Dec 20, 2024
Key facts
- NPI
- 1598513152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- License
- HHA200003621 (DC)
- Practice address
- 2736 Zeek LN
Glenarden, MD 20706-1405 - Phone
- (240) 960-8565
- NPI assigned
- May 8, 2024
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| HHA200003621 | DC | MD | Home Health Aide |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | HHA200003621 | DC | Yes |
Addresses
Primary practice location
2736 Zeek LN
Glenarden, MD 20706-1405
Mailing address
2736 Zeek LN
Glenarden, MD 20706-1405
Phone (240) 960-8565
Other names
- Miss Agnes Ebagge Eneke
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- Selamawitt Gedamu
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- Donalyn Gorham
All providers in Glenarden, MD · Home Health Aide in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.