Provider Demographics
NPI:1467975839
Name:NJEUTA, ROSTAND HUBEL I (HHA)
Entity Type:Individual
Prefix:
First Name:ROSTAND
Middle Name:HUBEL
Last Name:NJEUTA
Suffix:I
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 1:1114 21ST ST NE APT 105
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-3160
Mailing Address - Country:US
Mailing Address - Phone:240-495-4279
Mailing Address - Fax:
Practice Address - Street 1:1114 21ST ST NE APT 105
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3160
Practice Address - Country:US
Practice Address - Phone:240-495-4279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DCHHA12847OtherDC DEPARTMENT OF HEALTH