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DIVINE TAKO EBAI
NPI 1467386656
Case Manager/Care Coordinator in Takoma Park, MD

Active since June 11, 2026
614 ETHAN ALLEN AVE, TAKOMA PARK, MD 20912(240) 458-8832 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Divine Tako Ebai NPPES

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

DIVINE TAKO EBAI (NPI 1467386656) is an individual case manager/care coordinator provider in Takoma Park, Maryland and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1467386656
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameDIVINE TAKO EBAI
Location Address614 ETHAN ALLEN AVETakoma Park, MD 20912-5400
Mailing Address614 Ethan Allen AveTakoma Park, MD 20912-5400 · (240) 458-8832
Phone(240) 458-8832
Sole ProprietorYes
Enumeration DateJune 11, 2026
NPPES CertifiedJune 11, 2026
✔ NPI 1467386656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
614 ETHAN ALLEN AVE, Takoma Park, MD 20912
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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 Divine Tako Ebai's NPI number?

The NPI number for Divine Tako Ebai is 1467386656. It was assigned to this individual provider in the NPPES registry on June 11, 2026.

Where is Divine Tako Ebai located?

Divine Tako Ebai practices at 614 Ethan Allen Ave, Takoma Park, MD 20912. The listed phone number is (240) 458-8832.

What is Divine Tako Ebai's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Divine Tako Ebai was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.