Basic Information
| Provider Information | |||||||||
| NPI: | 1912371519 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHIJIOKE | ||||||||
| FirstName: | MERCY | ||||||||
| MiddleName: | OGOAMAKA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4204 RUSSELL AVE APT 7 | ||||||||
| Address2: | |||||||||
| City: | MOUNT RAINIER | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207121718 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3012771206 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2512 24TH ST NE | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200182126 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2028328340 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/19/2015 | ||||||||
| LastUpdateDate: | 09/01/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 09/01/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 374U00000X | HHA11622 | DC | Y | Nursing Service Related Providers | Home Health Aide |
No ID Information.