Provider Demographics
NPI:1790559078
Name:NGALE TCHAMOU, ROSE YVETTE
Entity Type:Individual
Prefix:
First Name:ROSE YVETTE
Middle Name:
Last Name:NGALE TCHAMOU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:848 GORDON SMITH BLVD APT 7
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-6015
Mailing Address - Country:US
Mailing Address - Phone:513-546-1427
Mailing Address - Fax:
Practice Address - Street 1:848 GORDON SMITH BLVD APT 7
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-6015
Practice Address - Country:US
Practice Address - Phone:513-546-1427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-08
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No172A00000XOther Service ProvidersDriver
No376J00000XNursing Service Related ProvidersHomemaker
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child