Healthcare Provider Details

I. General information

NPI: 1184472326
Provider Name (Legal Business Name): STELLA ACHU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2024
Last Update Date: 02/24/2026
Certification Date: 02/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9226 4TH STREET LANHAM MD 20706
LANHAM MD
20706
US

IV. Provider business mailing address

9226 4TH STREET LANHAM MD 20706
LANHAM MD
20706
US

V. Phone/Fax

Practice location:
  • Phone: 641-799-7584
  • Fax:
Mailing address:
  • Phone: 641-799-7584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA200004651
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: