Healthcare Provider Details

I. General information

NPI: 1851848147
Provider Name (Legal Business Name): MABEL AMEI TENGEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2016
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9010 BRAE BROOKE DR
LANHAM MD
20706-3387
US

IV. Provider business mailing address

9010 BRAE BROOKE DR
LANHAM MD
20706-3387
US

V. Phone/Fax

Practice location:
  • Phone: 240-478-5337
  • Fax:
Mailing address:
  • Phone: 240-478-5337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License NumberHHA12386
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA12386
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateDC
# 4
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: