Healthcare Provider Details

I. General information

NPI: 1285009878
Provider Name (Legal Business Name): TEMAH OKAH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2015
Last Update Date: 10/24/2023
Certification Date: 10/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 KENNEDY ST NW
DISTRICT OF COLUMBIA DC
20011
US

IV. Provider business mailing address

821 KENNEDY ST NW
WASHINGTON DC
20011-2913
US

V. Phone/Fax

Practice location:
  • Phone: 202-722-1725
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: