Provider Demographics
NPI:1407101017
Name:HAUGABROOK, TESSIN ERIC ANTHONY (HHA)
Entity type:Individual
Prefix:
First Name:TESSIN
Middle Name:ERIC ANTHONY
Last Name:HAUGABROOK
Suffix:
Gender:M
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3330 OXON RUN RD SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20032-3829
Mailing Address - Country:US
Mailing Address - Phone:202-904-1338
Mailing Address - Fax:202-904-1338
Practice Address - Street 1:3330 OXON RUN RD SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20032-3829
Practice Address - Country:US
Practice Address - Phone:202-904-1338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-19
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC3747P1801X, 3747A0650X
374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health Aide