Nkemdilim Agbim

Individual provider Active NPI Home Health Aide · Washington, DC

NPI 1790294379 · NPPES record last updated Sep 26, 2017

Key facts

NPI
1790294379
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
2512 24TH St NE
Washington, DC 20018-2126
Phone
(202) 832-8340
NPI assigned
Sep 26, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Yes

Addresses

Primary practice location

2512 24TH St NE
Washington, DC 20018-2126

Mailing address

8865 Manahan Dr
Ellicott City, MD 21043-5400

Other providers in Washington, DC

All providers in Washington, DC · Home Health Aide in District of Columbia

Sources for this page

Verify at the official NPI Registry.