Healthcare Provider Details

I. General information

NPI: 1760354880
Provider Name (Legal Business Name): ELSA TADESSE GEBRE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2025
Last Update Date: 09/18/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8666 PINEY BRANCH RD APT 102
SILVER SPRING MD
20901-3902
US

IV. Provider business mailing address

8666 PINEY BRANCH RD APT 102
SILVER SPRING MD
20901-3902
US

V. Phone/Fax

Practice location:
  • Phone: 240-473-8702
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA200004888
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: