Provider Demographics
NPI:1114348406
Name:IHEBINANDU, IJOMA OKECHUKWU (HHA)
Entity Type:Individual
Prefix:
First Name:IJOMA
Middle Name:OKECHUKWU
Last Name:IHEBINANDU
Suffix:
Gender:M
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2310 BRIGHTSEAT RD APT 5
Mailing Address - Street 2:
Mailing Address - City:LANDOVER
Mailing Address - State:MD
Mailing Address - Zip Code:20785-3552
Mailing Address - Country:US
Mailing Address - Phone:202-910-7583
Mailing Address - Fax:
Practice Address - Street 1:2310 BRIGHTSEAT RD APT 5
Practice Address - Street 2:
Practice Address - City:LANDOVER
Practice Address - State:MD
Practice Address - Zip Code:20785-3552
Practice Address - Country:US
Practice Address - Phone:202-910-7583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-03
Last Update Date:2014-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA 10243374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide