# MIMI'S HEALTHCARE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962119404
- **Authorized official:** ROMUALD TCHOUGOUE (OWNER)
- **Authorized official phone:** (240) 447-7029

## Contact information

- **Practice address:** 10123 TOWHEE AVE, ADELPHI, MD 20783-1209
- **Practice address phone:** (240) 447-7029
- **Mailing address:** 10123 TOWHEE AVE, ADELPHI, MD 20783-1209
- **Mailing address phone:** (240) 447-7029

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | — | — |
| 261QD1600X | Developmental Disabilities Clinic/Center | — | — | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | — | — |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |
| 372600000X | Adult Companion | — | — | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | — | — |

## Other

- **Enumeration date:** 11/03/2022
- **Last updated:** 04/21/2026