EDEN G KEBROM (NPI# 1316550973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316550973 |
| Entity Type | Individual |
| Full Name | EDEN G KEBROM |
| Practice Address |
2001 15th St Nw Washington DC 20009-5828 |
| Mailing Address |
1858 Loch Shiel Rd Towson MD 21286-8918 |
| Practice Telephone | 2029103657 |
| Mailing Telephone | 2027306613 |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2020-08-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
2001 15TH ST NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20009-5828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760979835 | Ludmilla Zeller | Home Health Aide | 2001 15th St Nw, Washington, DC 20009-5828 | 2018-04-15 |
| 1306463781 | Tighisti G Tesfamariam | Technician | 2001 15th St Nw, Washington, DC 20009-5828 | 2020-07-01 |
| 1083230890 | Ashley Mccollough | Technician | 2001 15th St Nw, Washington, DC 20009-5828 | 2020-06-18 |
| 1699399444 | Genet Gebermichael | Technician | 2001 15th St Nw, Washington, DC 20009-5828 | 2020-06-07 |
| 1871124537 | Senait Selemun | Home Health Aide | 2001 15th St Nw, Washington, DC 20009-5828 | 2020-01-31 |
| 1619438660 | Jeffrey Payne Iv | Technician | 2001 15th St Nw, Washington, DC 20009-5828 | 2019-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932724515 | Ana Serra | Social Worker | Mary's Center, 2333 Ontario Rd Nw, Washington, DC 20009 | 2020-06-10 |
| 1124596317 | Javan Anti Aging and Wellness Institute | Clinic/Center | 1626 U St Nw, Washington, DC 20009 | 2018-11-06 |
| 1477052272 | Shaw Family Dentistry Pllc | Dentist | 1515 U Street Nw, Suite A1 C1, Washington Dc, DC 20009 | 2018-02-07 |
| 1942728597 | Emily Schwaber | Speech-Language Pathologist | 5185 Macarthur Boulevard Suite 101, Washington, DC 20009 | 2017-09-05 |
| 1649792581 | Kalorama Pharmacy Inc. | Pharmacy | 1841 Columbia Rd Nw, Washington, DC 20009 | 2017-07-12 |
| 1700313707 | Salome Fomukong | Home Health Aide | 1752 Columbia Rd #2, Tierno Care Home Health Agency, Washington, DC 20009 | 2017-05-22 |
| 1912432436 | Mcclain Eyewear | Eyewear Supplier (Equipment, not the service) | 1514 U Street Nw, Washington, DC 20009 | 2017-04-21 |
| 1487195624 | Jasmine Thomas | Home Health Aide | 1440 W St Nw #b1, Washington, DC 20009 | 2017-03-20 |
| 1760923361 | Natasha Khawaja | Family Medicine | Upper Cardozo Community Health Center, 320 14th Street Nw, Washington, DC 20009 | 2017-03-15 |
| 1134672520 | Margaret Ache Tata Tanwani | Home Health Aide | 1752 Columbia Rd, North West Washington Dc, North West Washington, DC 20009 | 2016-08-02 |
| Find all providers in zip 20009 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437993 | Rhonda Allman | Technician | 3118 Harris Hwy, Washington, WV 26181-8709 | 2020-11-08 |
| 1841891538 | Deidra Montgomery | Technician | 1402 Lake Washington Rd, Washington, WV 26181-8222 | 2020-11-08 |
| 1033710793 | Mykeena Naylor | Technician | 7 U St Nw, Washington, DC 20001-1010 | 2020-11-07 |
| 1942801683 | Jacquise C Martin | Technician | 2801 14th St Nw Apt 303, Washington, DC 20009-4946 | 2020-11-07 |
| 1497356133 | Deonta Marcell Saleem | Technician | 2400 Hartford St Se Apt 104, Washington, DC 20020-7967 | 2020-11-07 |
| 1447851548 | Caroline Nadine Hudgens | Technician | 2412 Wagner St Se, Washington, DC 20020-3416 | 2020-11-04 |
| 1255932380 | Donald Anthony Harris | Technician | 1924 Savannah St Se, Washington, DC 20020-7535 | 2020-11-04 |
| 1528669819 | Lyndell Neal Simms | Technician | 7053 Spring Pl Nw Apt 313, Washington, DC 20012-2193 | 2020-11-04 |
| 1912508136 | Gary Gathers | Technician | 1720 Savannah St Se Apt 102, Washington, DC 20020-7585 | 2020-11-04 |
| 1629679162 | Andrew Holt Jr. | Technician | 1317 5th St Nw Apt 302, Washington, DC 20001-4871 | 2020-11-02 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20009 |
Please comment or provide details below to improve the information on EDEN G KEBROM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.