Provider Demographics
NPI:1538428248
Name:TEMBI, AUGUSTINE (HHA)
Entity type:Individual
Prefix:MR
First Name:AUGUSTINE
Middle Name:
Last Name:TEMBI
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 1:1808 METZEROTT RD
Mailing Address - Street 2:
Mailing Address - City:ADELPHI
Mailing Address - State:MD
Mailing Address - Zip Code:20783-5126
Mailing Address - Country:US
Mailing Address - Phone:240-706-3103
Mailing Address - Fax:
Practice Address - Street 1:1808 METZEROTT RD
Practice Address - Street 2:
Practice Address - City:ADELPHI
Practice Address - State:MD
Practice Address - Zip Code:20783-5126
Practice Address - Country:US
Practice Address - Phone:240-706-3103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-15
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide