Healthcare Provider Details

I. General information

NPI: 1164968228
Provider Name (Legal Business Name): GEORGE AYIKA SR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2017
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9979 GOOD LUCK RD APT 102
LANHAM MD
20706-3282
US

IV. Provider business mailing address

9979 GOOD LUCK RD APT 102
LANHAM MD
20706
UM

V. Phone/Fax

Practice location:
  • Phone: 202-412-0685
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License NumberHHA12535
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: