Provider Demographics
NPI:1164920161
Name:EHILEME, MARYFLORENCE (HHA, CNA)
Entity Type:Individual
Prefix:
First Name:MARYFLORENCE
Middle Name:
Last Name:EHILEME
Suffix:
Gender:F
Credentials:HHA, CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3740 ELY PL SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-3089
Mailing Address - Country:US
Mailing Address - Phone:202-215-8874
Mailing Address - Fax:
Practice Address - Street 1:501 SCHOOL ST SW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-2754
Practice Address - Country:US
Practice Address - Phone:202-955-8355
Practice Address - Fax:202-587-1396
Is Sole Proprietor?:No
Enumeration Date:2018-01-25
Last Update Date:2018-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC0000808849376K00000X
DCHHA11290374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No376K00000XNursing Service Related ProvidersNurse's Aide