Healthcare Provider Details

I. General information

NPI: 1225399843
Provider Name (Legal Business Name): NADEGE TEUMA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2012
Last Update Date: 07/21/2023
Certification Date: 07/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4645 NANNIE HELEN BURROUGHS AVE NE
WASHINGTON DC
20019-3622
US

IV. Provider business mailing address

1818 NEW YORK AV 117 GLOBAL HEALH CARE
WASHINGTON DC
20002
US

V. Phone/Fax

Practice location:
  • Phone: 202-733-4904
  • Fax: 202-733-4879
Mailing address:
  • Phone: 202-480-0813
  • Fax: 202-503-2363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: