JUDE THADDEUS YUSIMBOM SONG HOME HEALTH AIDE
NPI 1033626635
Licensed Practical Nurse in Washington, DC

Q: What is Jude Thaddeus Song's NPI number?

The NPI number for Jude Thaddeus Song is 1033626635. It was assigned to this individual provider in the NPPES registry on January 4, 2018.

Q: What is Jude Thaddeus Song's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Active since January 04, 2018

2811 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020(202) 894-6811(202) 894-6811 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 14, 2023, Apr 30, 2018 (2 updates tracked since 2018).

On this page

About Jude Thaddeus Yusimbom Song Home Health Aide NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUDE THADDEUS YUSIMBOM SONG HOME HEALTH AIDE (NPI 1033626635) is an individual licensed practical nurse in Washington, District Of Columbia, licensed in District Of Columbia (LPN200002497) and active in the NPI registry since January 2018.

NPPES Registry Identity

NPI1033626635

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameJUDE THADDEUS YUSIMBOM SONGCredential: HOME HEALTH AIDE

Location Address2811 PENNSYLVANIA AVE SEWashington, DC 20020-3865

Mailing Address5501 Doris CtBladensburg, MD 20710-1649 · (240) 825-8691

Phone(202) 894-6811

Fax(202) 894-6811

Sole ProprietorYes

Enumeration DateJanuary 4, 2018

Last NPPES UpdateAugust 14, 20232 updates tracked since enumeration

NPPES CertifiedAugust 14, 2023

✔ NPI 1033626635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in DC · LPN200002497

Definition

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.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedHome Health AideTaxonomy 374U00000X · License HHA13466 (DC)

Also ListedNurse's AideTaxonomy 376K00000X · License 256963753 (DC)

2811 PENNSYLVANIA AVE SE, Washington, DC 20020

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCRUPLES CORPORATION

Community/Behavioral Health

2811 PENNSYLVANIA AVE SE, 2ND FLOOR
WASHINGTON, DC 20020

District of Columbia (202) 581-2455

MS. CYNTHIA LOCKE HENDERSON LICSW, LCSW-C

Social Worker (Clinical)