Healthcare Provider Details

I. General information

NPI: 1992682777
Provider Name (Legal Business Name): RAMOND NJUALEM NKEMTOH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7119 E CEDAR ST
LANDOVER MD
20785-5218
US

IV. Provider business mailing address

7119 E CEDAR ST
LANDOVER MD
20785-5218
US

V. Phone/Fax

Practice location:
  • Phone: 240-946-1635
  • Fax:
Mailing address:
  • Phone: 240-946-1635
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: