Healthcare Provider Details

I. General information

NPI: 1386597805
Provider Name (Legal Business Name): ALVINE NGUEMEZI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2026
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3206 CHERRY MILL DR
ADELPHI MD
20783-1039
US

IV. Provider business mailing address

3206 CHERRY MILL DR
ADELPHI MD
20783-1039
US

V. Phone/Fax

Practice location:
  • Phone: 240-595-9063
  • Fax:
Mailing address:
  • Phone: 240-595-9063
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA200005973
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: