Healthcare Provider Details

I. General information

NPI: 1780407791
Provider Name (Legal Business Name): SALEN ABONGIBI CHEBEI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2024
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6601 CIPRIANO RD
LANHAM MD
20706-3942
US

IV. Provider business mailing address

6601 CIPRIANO RD
LANHAM MD
20706-3942
US

V. Phone/Fax

Practice location:
  • Phone: 202-573-5462
  • Fax:
Mailing address:
  • Phone: 202-573-5462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: