Provider Demographics
NPI:1619842713
Name:TEKLE, SABA
Entity type:Individual
Prefix:
First Name:SABA
Middle Name:
Last Name:TEKLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 12TH ST NW APT 1011
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-4358
Mailing Address - Country:US
Mailing Address - Phone:202-306-9813
Mailing Address - Fax:
Practice Address - Street 1:1220 12TH ST NW APT 1011
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-4358
Practice Address - Country:US
Practice Address - Phone:202-306-9813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-08
Last Update Date:2025-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCA00221598374U00000X
MDA00221598376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide
No374U00000XNursing Service Related ProvidersHome Health Aide