Healthcare Provider Details

I. General information

NPI: 1073475158
Provider Name (Legal Business Name): XANEY HEALTH CARE SOLUTION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2025
Last Update Date: 11/26/2025
Certification Date: 11/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 GEORGIA AVE NW STE 300
WASHINGTON DC
20012-1616
US

IV. Provider business mailing address

7600 GEORGIA AVE NW STE 300
WASHINGTON DC
20012-1616
US

V. Phone/Fax

Practice location:
  • Phone: 301-728-9987
  • Fax:
Mailing address:
  • Phone: 301-728-9987
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: JACOB NANJO
Title or Position: PRESIDENT
Credential:
Phone: 301-728-9987