Provider Demographics
NPI:1447015557
Name:WOREDE, TSEHEY WOREDE (HHA CERTIFICATE)
Entity type:Individual
Prefix:
First Name:TSEHEY
Middle Name:WOREDE
Last Name:WOREDE
Suffix:
Gender:F
Credentials:HHA CERTIFICATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4820 FORT TOTTEN DR NE APT 304
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-7566
Mailing Address - Country:US
Mailing Address - Phone:202-403-9060
Mailing Address - Fax:
Practice Address - Street 1:4820 FORT TOTTEN DR NE APT 304
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-7566
Practice Address - Country:US
Practice Address - Phone:202-403-9060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA200003208374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide