ETIENDEM RAY EBESOH
NPI 1609746965
Home Health Aide in Hyattsville, MD

Active since November 10, 2025
2807 ORCHARD SUMMIT CT, HYATTSVILLE, MD 20785(240) 615-1072 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 3, 2025, Nov 10, 2025 (2 updates tracked since 2025).

About Etiendem Ray Ebesoh NPPES

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

ETIENDEM RAY EBESOH (NPI 1609746965) is an individual home health aide in Hyattsville, Maryland and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1609746965
Entity TypeIndividualMale
Primary Taxonomy374U00000X
Provider Legal NameETIENDEM RAY EBESOH
Location Address2807 ORCHARD SUMMIT CTHyattsville, MD 20785-2621
Mailing Address2807 Orchard Summit CtHyattsville, MD 20785-2621 · (240) 615-1072
Sole ProprietorYes
Enumeration DateNovember 10, 2025
Last NPPES UpdateDecember 3, 20252 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
NPI 1609746965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2807 ORCHARD SUMMIT CT, Hyattsville, MD 20785

Other Providers at the Same Location NPPES 4

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

Case Manager/Care Coordinator
2807 ORCHARD SUMMIT CT
HYATTSVILLE, MD 20785
Home Health Aide
2807 ORCHARD SUMMIT CT
LANDOVER, MD 20785
Home Health Aide
2807 ORCHARD SUMMIT CT
HYATTSVILLE, MD 20785
Home Health Aide
2807 ORCHARD SUMMIT CT
HYATTSVILLE, MD 20785

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 Etiendem Ebesoh's NPI number?

The NPI number for Etiendem Ebesoh is 1609746965. It was assigned to this individual provider in the NPPES registry on November 10, 2025.

Where is Etiendem Ebesoh located?

Etiendem Ebesoh practices at 2807 Orchard Summit Ct, Hyattsville, MD 20785. The listed phone number is (240) 615-1072.

What is Etiendem Ebesoh'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 Etiendem Ebesoh was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.