Provider Demographics
NPI:1891315131
Name:OKPALA, NDIDIAMAKA (CNA ,HHA,BHT)
Entity type:Individual
Prefix:
First Name:NDIDIAMAKA
Middle Name:
Last Name:OKPALA
Suffix:
Gender:F
Credentials:CNA ,HHA,BHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3941 WARNER AVE APT A7
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20784-2088
Mailing Address - Country:US
Mailing Address - Phone:443-683-4372
Mailing Address - Fax:
Practice Address - Street 1:35 K ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-4216
Practice Address - Country:US
Practice Address - Phone:202-371-9393
Practice Address - Fax:202-697-5069
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-16
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA15351374U00000X
DCA00173797103TH0100X
DCNA0000813914171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No374U00000XNursing Service Related ProvidersHome Health Aide
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service