MEDICARE: ETIENDEM G NZEFOE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide
2	171M00000X	Case Manager/Care Coordinator		DC

General Provider Information

NPI Number	:	1750648101
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ETIENDEM G NZEFOE

Provider Business Mailing Address
First Line	:	7509 TAYLOR ST
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20784-6319
Country	:	US
Telephone Number	:	240-354-5859
Fax Number	:

Provider Business Practice Location Address
First Line	:	7509 TAYLOR ST
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20784-6319
Country	:	US
Telephone Number	:	240-354-5859
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2012
Last Update Date	:	09/05/2023

Similar Medicare Providers

1033073366 — DIVINE NZEFEH EFFUTNGU
Practice Location Address:

7509 TAYLOR ST
HYATTSVILLE, MD
20784-6319

Practice Phone: 202-948-8431
Practice Fax:

1962275990 — RIGOBERT CHAGUA
Practice Location Address:

7509 TAYLOR ST
HYATTSVILLE, MD
20784-6319

Practice Phone: 202-717-6501
Practice Fax:

1013735596 — ANNOVA NJIGWA KAKMANI
Practice Location Address:

7509 TAYLOR ST
HYATTSVILLE, MD
20784-6319

Practice Phone: 202-922-9376
Practice Fax:

1104792183 — SUPREME CARE SERVICESLLC
Practice Location Address:

4738 68TH AVE
HYATTSVILLE, MD
20784-1400

Practice Phone: 301-814-1509
Practice Fax: 301-814-1509

1932063559 — ODETTE SIRRI NGWA
Practice Location Address:

4074 HANSON OAKS DR
HYATTSVILLE, MD
20784-2315

Practice Phone: 240-749-5342
Practice Fax:

1114881125 — THERESE NGOSONG NKAFU PHD, HHA
Practice Location Address:

3408 55TH AVE
HYATTSVILLE, MD
20784-1022

Practice Phone: 240-791-8922
Practice Fax:

Directions to “ ETIENDEM G NZEFOE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.