Healthcare Provider Details

I. General information

NPI: 1013882422
Provider Name (Legal Business Name): EPHRATA HOMES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2025
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1914 BENNING RD NE STE 201
WASHINGTON DC
20002-4791
US

IV. Provider business mailing address

1914 BENNING RD NE STE 201
WASHINGTON DC
20002-4791
US

V. Phone/Fax

Practice location:
  • Phone: 202-203-8579
  • Fax:
Mailing address:
  • Phone: 202-203-8579
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DELPHINE TAKOH
Title or Position: CEO
Credential:
Phone: 202-203-8579