Healthcare Provider Details

I. General information

NPI: 1144199076
Provider Name (Legal Business Name): HELDRINE TEBOH AZORH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/30/2025
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7748 FINNS LN APT B1
LANHAM MD
20706-1327
US

IV. Provider business mailing address

7748 FINNS LN APT B1
LANHAM MD
20706-1327
US

V. Phone/Fax

Practice location:
  • Phone: 227-215-7817
  • Fax:
Mailing address:
  • Phone: 227-215-7817
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: