Healthcare Provider Details

I. General information

NPI: 1194649442
Provider Name (Legal Business Name): HELENE DONGFACK EPSE DEMMASSE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 GEORGIA AVE NW STE 316
WASHINGTON DC
20012-1639
US

IV. Provider business mailing address

11115 SUPERIOR LNDG
BOWIE MD
20720-3492
US

V. Phone/Fax

Practice location:
  • Phone: 202-621-8304
  • Fax:
Mailing address:
  • Phone: 346-656-0072
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA200006818
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: