NPI Code Details Logo

NPI 1508739707

NPI 1508739707 : NASH HOME CARE LLC NADEGE BLANCE EWAH MBR : RIVERDALE, MD

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1508739707
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    NASH HOME CARE LLC NADEGE BLANCE EWAH MBR 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/25/2025
-----------------------------------------------------
    Last Update Date     |    09/25/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    6801 KENILWORTH AVE FL 3 
-----------------------------------------------------
    City                 |    RIVERDALE
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    20737-1331
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    907-301-5267
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    2410 VIRGINIA AVE APT 101 
-----------------------------------------------------
    City                 |    HYATTSVILLE
-----------------------------------------------------
    State                |    MD
-----------------------------------------------------
    Zip                  |    20785-3379
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    907-301-5267
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |    MISS NADEGE BLANCE EWAH 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    907-301-5267
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.