Individual provider Active NPI

Selam Teamirat Debas

  • Home Health Aide
  • Silver Spring, MD
National Provider Identifier
1861007973
Registry record updated Sep 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
1919 E West Hwy Apt T2
Silver Spring, MD 20910-2410
Phone
(202) 286-9476
NPI assigned
Sep 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2020

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 Primary

Addresses

Primary practice location

1919 E West Hwy Apt T2
Silver Spring, MD 20910-2410

Mailing address

1919 E West Hwy Apt T2
Silver Spring, MD 20910-2410
Phone (202) 286-9476

Other identifiers 1

IdentifierTypeStateIssuer
A00187812MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL abahomehealth.com

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": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1861007973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 E WEST HWY APT T2",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102410",
            "telephone_number": "202-286-9476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 E WEST HWY APT T2",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209102410",
            "telephone_number": "202-286-9476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBAS",
        "first_name": "SELAM TEAMIRAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A00187812",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "abahomehealth.com",
            "affiliation": "N",
            "address_1": "1919 E West Hwy Apt T2",
            "city": "Silver Spring",
            "state": "MD",
            "country_code": "US",
            "postal_code": "209102410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 15, 2020; 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.