Healthcare Provider Details

I. General information

NPI: 1427962034
Provider Name (Legal Business Name): ERNESTINE TCHAYA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3354 CHILLUM RD
MOUNT RAINIER MD
20712-1140
US

IV. Provider business mailing address

3354 CHILLUM RD
MOUNT RAINIER MD
20712-1140
US

V. Phone/Fax

Practice location:
  • Phone: 202-440-7302
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA200006951
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: