Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Divine Tako Ebai

Individual provider Case Manager/Care Coordinator · NPI 1467386656

Divine Tako Ebai is a Case Manager/Care Coordinator in Takoma Park, Maryland. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

614 Ethan Allen Ave
Takoma Park, MD 20912-5400
Phone: (240) 458-8832
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1467386656
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 11, 2026
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026

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