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ETENESH MAMO
NPI 1790142008
Home Health Aide in Washington, DC

Active since January 19, 2016
4207 ARKANSAS AVE NW, APT 2, WASHINGTON, DC 20011(703) 380-1595 Get Directions Write a Review

NPPES record last updated: January 19, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Etenesh Mamo NPPES

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

ETENESH MAMO (NPI 1790142008) is an individual home health aide in Washington, District Of Columbia, licensed in District Of Columbia (HHA11723) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1790142008
Entity TypeIndividualFemale
Primary Taxonomy374U00000X
Provider Legal NameETENESH MAMO
Location Address4207 ARKANSAS AVE NW, APT 2Washington, DC 20011-5542
Mailing Address4207 Arkansas Ave Nw, Apt 2Washington, DC 20011-5542 · (703) 380-1595
Phone(703) 380-1595
Sole ProprietorYes
Enumeration DateJanuary 19, 2016
✔ NPI 1790142008 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 · HHA11723
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.
4207 ARKANSAS AVE NW, Washington, DC 20011
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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 Etenesh Mamo's NPI number?

The NPI number for Etenesh Mamo is 1790142008. It was assigned to this individual provider in the NPPES registry on January 19, 2016.

Where is Etenesh Mamo located?

Etenesh Mamo practices at 4207 Arkansas Ave NW Apt 2, Washington, DC 20011. The listed phone number is (703) 380-1595.

What is Etenesh Mamo'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 Etenesh Mamo was last updated on January 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.