Healthcare Provider Details

I. General information

NPI: 1649086430
Provider Name (Legal Business Name): AKOUAVI CHANTAL D'ALMEIDA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2024
Last Update Date: 12/05/2024
Certification Date: 12/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2112 I STREET 203
NORTHEAST DC
20002
US

IV. Provider business mailing address

7506 GEORGIA AVE NW
WASHINGTON DC
20012-1608
US

V. Phone/Fax

Practice location:
  • Phone: 202-779-6605
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA200004371
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: