Healthcare Provider Details

I. General information

NPI: 1205743655
Provider Name (Legal Business Name): HANA AYELE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1107 HOLBROOK TER NE
WASHINGTON DC
20002-2369
US

IV. Provider business mailing address

1107 HOLBROOK TER NE
WASHINGTON DC
20002-2369
US

V. Phone/Fax

Practice location:
  • Phone: 240-877-3240
  • Fax:
Mailing address:
  • Phone: 240-877-3240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number200006655
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: