Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PROVIDENCE NEMBO
NPI 1104739887
Home Health Aide in Upper Marlboro, MD

Q: What is Providence Nembo's NPI number?

The NPI number for Providence Nembo is 1104739887. It was assigned to this individual provider in the NPPES registry on September 24, 2026.

Q: What is Providence Nembo's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

Q: When was this NPI record last updated?

The NPPES record for Providence Nembo was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 24, 2026

402 RED LEAF CT, UPPER MARLBORO, MD 20774(240) 703-9498 Get Directions Write a Review

NPPES record added: September 24, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Providence Nembo NPPES

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

PROVIDENCE NEMBO (NPI 1104739887) is an individual home health aide in Upper Marlboro, Maryland, licensed in District Of Columbia (HHA200006921) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1104739887

Entity TypeIndividualFemale

Primary Taxonomy374U00000X

Provider Legal NamePROVIDENCE NEMBO

Location Address402 RED LEAF CTUpper Marlboro, MD 20774-1325

Mailing Address402 Red Leaf CtUpper Marlboro, MD 20774-1325 · (240) 703-9498

Phone(240) 703-9498

Sole ProprietorYes

Enumeration DateSeptember 24, 2026

NPPES CertifiedSeptember 24, 2026

✔ NPI 1104739887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers

Taxonomy Code374U00000X

License✔ Licensed in DC · HHA200006921

Definition

A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.

402 RED LEAF CT, Upper Marlboro, MD 20774

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Other Providers at the Same Location NPPES 3

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

NGWON EUNICE

Home Health Aide

402 RED LEAF CT
UPPER MARLBORO, MD 20774

Prince George's County (240) 940-9538

BRIDGET MBAH

Home Health Aide

402 RED LEAF CT
UPPER MARLBORO, MD 20774

Prince George's County (301) 979-3613

BENLY JUSTINE NEMBO

Home Health Aide

402 RED LEAF CT
UPPER MARLBORO, MD 20774

Prince George's County (240) 887-8130

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Providence Nembo's NPI number?

The NPI number for Providence Nembo is 1104739887. It was assigned to this individual provider in the NPPES registry on September 24, 2026.

Where is Providence Nembo located?

Providence Nembo practices at 402 Red Leaf Ct, Upper Marlboro, MD 20774. The listed phone number is (240) 703-9498.

What is Providence Nembo's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Providence Nembo was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.