Healthcare Provider Details

I. General information

NPI: 1902158694
Provider Name (Legal Business Name): LILIAN NJODZEKA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2012
Last Update Date: 04/16/2024
Certification Date: 04/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8714 MANCHESTER RD APT 3
SILVER SPRING MD
20901-4232
US

IV. Provider business mailing address

8714 MANCHESTER RD APT 3
SILVER SPRING MD
20901
US

V. Phone/Fax

Practice location:
  • Phone: 240-606-1268
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: