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

Individual provider Home Health Aide · NPI 1609746965

Etiendem Ray Ebesoh is a Home Health Aide in Hyattsville, Maryland. Practices as a sole proprietor. Licensed in District of Columbia.

Licensed in
DC
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

2807 Orchard Summit Ct
Hyattsville, MD 20785-2621
Phone: (240) 615-1072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X (DC)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1609746965
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 10, 2025
Last updated in NPPESDecember 3, 2025
Certification dateDecember 3, 2025

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