Healthcare Provider Details

I. General information

NPI: 1477482586
Provider Name (Legal Business Name): FATMATA BELLA BANGS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 PA AVE SE STE 210
WASHINGTON DC
20003-4344
US

IV. Provider business mailing address

6848 RIVERDALE RD APT 102
LANHAM MD
20706-1051
US

V. Phone/Fax

Practice location:
  • Phone: 202-282-3004
  • Fax: 202-282-2057
Mailing address:
  • Phone: 202-282-3004
  • Fax: 202-282-2057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA200005394
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: