Healthcare Provider Details

I. General information

NPI: 1023995305
Provider Name (Legal Business Name): CHI AFUAH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2512 24TH ST NE
WASHINGTON DC
20018-2126
US

IV. Provider business mailing address

3107 75TH AVE
HYATTSVILLE MD
20785-6902
US

V. Phone/Fax

Practice location:
  • Phone: 408-348-5255
  • Fax:
Mailing address:
  • Phone: 540-497-0955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA200005680
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: