Healthcare Provider Details

I. General information

NPI: 1255243911
Provider Name (Legal Business Name): SOLOMON HABTEYES WELDEHANNA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5233 N CAPITOL ST NE APT 204
WASHINGTON DC
20011-6770
US

IV. Provider business mailing address

5233 N CAPITOL ST NE 204
WASHINGTON DC
20011-6770
US

V. Phone/Fax

Practice location:
  • Phone: 202-246-5324
  • Fax:
Mailing address:
  • Phone: 202-246-5324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: