Individual provider Active NPI

Mulu Hubena Elala

  • Home Health Aide
  • Washington, DC
National Provider Identifier
1699248450
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA13505 Issued in DC
Practice address
812 Jefferson St NW Apt 116
Washington, DC 20011-2922
Phone
(202) 375-0522
NPI assigned
Jan 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 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 HHA13505 DC Primary

Addresses

Primary practice location

812 Jefferson St NW Apt 116
Washington, DC 20011-2922

Mailing address

812 Jefferson St NW Apt 116
Washington, DC 20011-2922
Phone (202) 375-0522

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
HHA13505DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1699248450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 JEFFERSON ST NW APT 116",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200112922",
            "telephone_number": "202-375-0522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 JEFFERSON ST NW APT 116",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200112922",
            "telephone_number": "202-375-0522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELALA",
        "first_name": "MULU",
        "middle_name": "HUBENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA13505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.