JUDE THADDEUS YUSIMBOM SONG HOME HEALTH AIDE NPI 1033626635

NPI Information

NPI: 1033626635
Provider Name: JUDE THADDEUS YUSIMBOM SONG, HOME HEALTH AIDE
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
2811 PENNSYLVANIA AVE SE
WASHINGTON, DC
ZIP 20020
Phone: (202) 894-6811
Get Directions

Jude Thaddeus Yusimbom Song, HOME HEALTH AIDE is a licensed practical nurse in Washington, DC. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Jude Thaddeus Yusimbom Song, HOME HEALTH AIDE NPI is 1033626635. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2811 PENNSYLVANIA AVE SE
WASHINGTON, DC
ZIP 20020-865
Phone: (202) 894-6811
Fax: (202) 894-6811

The enumeration date for this NPI number is 1/4/2018 and was last updated on 8/14/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator			No
2	374U00000X	Home Health Aide	HHA13466	DISTRICT OF COLUMBIA	No
3	376K00000X	Nurse's Aide	256963753	DISTRICT OF COLUMBIA	No
4	164W00000X	Licensed Practical Nurse	LPN200002497	DISTRICT OF COLUMBIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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