Provider Demographics
NPI:1184420887
Name:NCHA, CAROL
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:
Last Name:NCHA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5900 61ST AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-2505
Mailing Address - Country:US
Mailing Address - Phone:302-897-4913
Mailing Address - Fax:
Practice Address - Street 1:5900 61ST AVE
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-2505
Practice Address - Country:US
Practice Address - Phone:302-897-4913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-22
Last Update Date:2025-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator