Healthcare Provider Details

I. General information

NPI: 1013278027
Provider Name (Legal Business Name): MEKEDES BELETE YEHUALASHET
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2012
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 FORT TOTTEN DR NE APT 1
WASHINGTON DC
20011-7525
US

IV. Provider business mailing address

821 KENNEDY ST NW
WASHINGTON DC
20011-2913
US

V. Phone/Fax

Practice location:
  • Phone: 202-425-0234
  • Fax:
Mailing address:
  • Phone: 202-425-0234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: