Healthcare Provider Details

I. General information

NPI: 1902700818
Provider Name (Legal Business Name): CAROLINE NYONGSANGHA EPSE YEBI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 MELLON ST SE APT 4
WASHINGTON DC
20032-2630
US

IV. Provider business mailing address

10427 STONE PINE AVE
WALDORF MD
20603-5797
US

V. Phone/Fax

Practice location:
  • Phone: 641-244-0627
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: