Provider Demographics
NPI:1891393187
Name:ANDEMICHAEL, HELEN HABTE
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:HABTE
Last Name:ANDEMICHAEL
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 1:1442 SOMERSET PL NW APT A4
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-1041
Mailing Address - Country:US
Mailing Address - Phone:202-509-6572
Mailing Address - Fax:
Practice Address - Street 1:1442 SOMERSET PL NW APT A4
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-1041
Practice Address - Country:US
Practice Address - Phone:202-509-6572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-09
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA15177374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide