Provider Demographics
NPI:1508739707
Name:NASH HOME CARE LLC NADEGE BLANCE EWAH MBR
Entity type:Organization
Organization Name:NASH HOME CARE LLC NADEGE BLANCE EWAH MBR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:NADEGE
Authorized Official - Middle Name:BLANCE
Authorized Official - Last Name:EWAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-301-5267
Mailing Address - Street 1:2410 VIRGINIA AVE APT 101
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20785-3379
Mailing Address - Country:US
Mailing Address - Phone:907-301-5267
Mailing Address - Fax:
Practice Address - Street 1:6801 KENILWORTH AVE FL 3
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-1331
Practice Address - Country:US
Practice Address - Phone:907-301-5267
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-25
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health