Provider Demographics
NPI:1184288086
Name:YEHA, KERIMA MUSA (HHA)
Entity type:Individual
Prefix:
First Name:KERIMA
Middle Name:MUSA
Last Name:YEHA
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 1:12639 GEORGIA AVE APT 201
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-3701
Mailing Address - Country:US
Mailing Address - Phone:202-621-3464
Mailing Address - Fax:
Practice Address - Street 1:6856 EASTERN AVE NW STE 376
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-2112
Practice Address - Country:US
Practice Address - Phone:202-829-1719
Practice Address - Fax:202-722-4719
Is Sole Proprietor?:No
Enumeration Date:2019-04-25
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA14398374U00000X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDY-000-465-615-401OtherID