Provider Demographics
NPI:1376800094
Name:MACHE, HENRY
Entity Type:Individual
Prefix:
First Name:HENRY
Middle Name:
Last Name:MACHE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3404 55TH AVE APT 401
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20784-1019
Mailing Address - Country:US
Mailing Address - Phone:202-269-1619
Mailing Address - Fax:202-683-6739
Practice Address - Street 1:3404 55TH AVE, #401
Practice Address - Street 2:
Practice Address - City:HYATTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20784
Practice Address - Country:US
Practice Address - Phone:202-269-1619
Practice Address - Fax:202-683-6739
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-19
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide