Healthcare Provider Details

I. General information

NPI: 1114886918
Provider Name (Legal Business Name): ST AGNES HEALTH CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2026
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 PENNSYLVANIA AVE NW STE 900
WASHINGTON DC
20006-3405
US

IV. Provider business mailing address

1901 PENNSYLVANIA AVE NW STE 900-189
WASHINGTON DC
20006-3405
US

V. Phone/Fax

Practice location:
  • Phone: 202-235-6212
  • Fax:
Mailing address:
  • Phone: 202-235-6212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HENRI EBENDE NSEME
Title or Position: CEO
Credential:
Phone: 202-235-6212