Provider Demographics
NPI:1679837140
Name:NZOUNKEKANG, ROY TCHIFOR (HHA)
Entity type:Individual
Prefix:
First Name:ROY
Middle Name:TCHIFOR
Last Name:NZOUNKEKANG
Suffix:
Gender:M
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10005 NICOL CT E
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-2959
Mailing Address - Country:US
Mailing Address - Phone:240-479-5237
Mailing Address - Fax:
Practice Address - Street 1:2918 MINNESOTA AVE SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20019-1127
Practice Address - Country:US
Practice Address - Phone:240-479-5237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-29
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
374U00000X, 261QM1300X, 171M00000X
DC172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No374U00000XNursing Service Related ProvidersHome Health Aide
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No171M00000XOther Service ProvidersCase Manager/Care Coordinator