Healthcare Provider Details

I. General information

NPI: 1790698702
Provider Name (Legal Business Name): THEOUS RHEM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 R ST NW APT 304
WASHINGTON DC
20001-1938
US

IV. Provider business mailing address

28 K ST SE APT 1115
WASHINGTON DC
20003-3288
US

V. Phone/Fax

Practice location:
  • Phone: 240-535-2361
  • Fax:
Mailing address:
  • Phone: 240-447-8461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: