Individual provider Active NPI

Berthine Jouenang Tchatchouang, HHA

  • Home Health Agency
  • Silver Spring, MD
National Provider Identifier
1790209260
Registry record updated Jul 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA12948 Issued in DC
Practice address
11447 Columbia Pike Apt D6
Silver Spring, MD 20904-2531
Phone
(240) 705-0698
NPI assigned
Jul 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA12948 DC Primary

Addresses

Primary practice location

11447 Columbia Pike Apt D6
Silver Spring, MD 20904-2531

Mailing address

11447 Columbia Pike Apt D6
Silver Spring, MD 20904-2531

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
HHA12948DCMDHome Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501113600000",
    "number": "1790209260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11447 COLUMBIA PIKE APT D6",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11447 COLUMBIA PIKE APT D6",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209042531",
            "telephone_number": "240-705-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TCHATCHOUANG",
        "first_name": "BERTHINE",
        "middle_name": "JOUENANG",
        "credential": "HHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2017-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "DC",
            "license": "HHA12948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2017; 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.