Healthcare Provider Details

I. General information

NPI: 1679231682
Provider Name (Legal Business Name): ADELINE A UJAKWI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2021
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1836 METZEROTT RD
ADELPHI MD
20783-3475
US

IV. Provider business mailing address

1836 METZEROTT RD
ADELPHI MD
20783-3475
US

V. Phone/Fax

Practice location:
  • Phone: 202-549-9814
  • Fax:
Mailing address:
  • Phone: 202-549-9814
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number500020399
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: