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

Visits clients at home This work is carried out in the client's own home, so the registered address is a private residence rather than a place you can visit. We do not publish it. Contact details come from the provider or the agency that employs them.

Hyattsville, MD

No coordinates on file. Search this address in Google Maps

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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