Provider Demographics
NPI:1609558105
Name:TEMBENG, ONORINE ANGUM (HHA200002934)
Entity Type:Individual
Prefix:
First Name:ONORINE
Middle Name:ANGUM
Last Name:TEMBENG
Suffix:
Gender:F
Credentials:HHA200002934
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8559 GREENBELT RD APT 203
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2339
Mailing Address - Country:US
Mailing Address - Phone:240-714-1949
Mailing Address - Fax:
Practice Address - Street 1:RHODE ISLAND AVENUE NORTHEAST
Practice Address - Street 2:
Practice Address - City:RHODE ISLAND
Practice Address - State:DC
Practice Address - Zip Code:20018
Practice Address - Country:US
Practice Address - Phone:301-793-8300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA200002934374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide