Healthcare Provider Details

I. General information

NPI: 1912880022
Provider Name (Legal Business Name): BETELHEM GEBRAY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2025
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7515 8TH ST NW
WASHINGTON DC
20012-1813
US

IV. Provider business mailing address

7515 8TH ST NW
WASHINGTON DC
20012-1813
US

V. Phone/Fax

Practice location:
  • Phone: 240-455-8520
  • Fax:
Mailing address:
  • Phone: 240-455-8520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA200005243
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: