Healthcare Provider Details

I. General information

NPI: 1235088832
Provider Name (Legal Business Name): VALENTINE NZOTA TANZE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2026
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11900 CHESTERTON DR
UPPER MARLBORO MD
20774-1633
US

IV. Provider business mailing address

11900 CHESTERTON DR
UPPER MARLBORO MD
20774-1633
US

V. Phone/Fax

Practice location:
  • Phone: 227-246-6751
  • Fax:
Mailing address:
  • Phone: 227-246-6751
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License NumberHHA200005835
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License NumberHHA200005835
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License NumberA00224796
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: