Provider Demographics
NPI:1639532070
Name:UMEAKU, OBIANUJU STELLA (HHA)
Entity Type:Individual
Prefix:
First Name:OBIANUJU
Middle Name:STELLA
Last Name:UMEAKU
Suffix:
Gender:F
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14225 CRIBBAGE TER
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20905-5900
Mailing Address - Country:US
Mailing Address - Phone:240-722-7884
Mailing Address - Fax:301-593-1701
Practice Address - Street 1:14225 CRIBBAGE TER
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20905-5900
Practice Address - Country:US
Practice Address - Phone:240-722-7884
Practice Address - Fax:301-593-1701
Is Sole Proprietor?:No
Enumeration Date:2016-04-02
Last Update Date:2016-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA11877374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide