Organization
MIMI'S HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROMUALD TCHOUGOUE (OWNER)
(240) 447-7029
Entity
Organization
Contact information
Practice address
10123 TOWHEE AVE, ADELPHI, MD 20783-1209
(240) 447-7029
Mailing address
10123 TOWHEE AVE, ADELPHI, MD 20783-1209
(240) 447-7029
Taxonomy
Speciality
Code
Description
License number
State
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
Primary
—
—
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
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