Provider Demographics
NPI:1376997171
Name:NJEI, CARLOS (HHA)
Entity Type:Individual
Prefix:MR
First Name:CARLOS
Middle Name:
Last Name:NJEI
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 1:4149 NORTH CAPITOL STREET NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-4500
Mailing Address - Country:US
Mailing Address - Phone:202-704-5283
Mailing Address - Fax:
Practice Address - Street 1:4941 N CAPITOL ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-6753
Practice Address - Country:US
Practice Address - Phone:202-704-5283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-18
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA11985251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health