Provider Demographics
NPI:1588287700
Name:URBINA HERNANDEZ, EIMY RUBY
Entity type:Individual
Prefix:
First Name:EIMY
Middle Name:RUBY
Last Name:URBINA HERNANDEZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 RITTENHOUSE ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20011-1945
Mailing Address - Country:US
Mailing Address - Phone:202-926-5294
Mailing Address - Fax:
Practice Address - Street 1:3322 14TH ST NW APT 328
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010-2366
Practice Address - Country:US
Practice Address - Phone:202-294-7205
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-21
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC3747P1801X
DCHHA200001949374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant