Healthcare Provider Details

I. General information

NPI: 1205765617
Provider Name (Legal Business Name): ANYIKENG HELEN TAZOCHE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6000 PRINCESS GARDEN PKWY
LANHAM MD
20706-2907
US

IV. Provider business mailing address

6000 PRINCESS GARDEN PKWY
LANHAM MD
20706-2907
US

V. Phone/Fax

Practice location:
  • Phone: 202-800-9005
  • Fax:
Mailing address:
  • Phone: 240-791-2182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA200004738
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: