MEDICARE: IZYHEALTHCARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QH0100X	Health Service Clinic/Center
2	261QM0850X	Adult Mental Health Clinic/Center
3	261QM0855X	Adolescent and Children Mental Health Clinic/Center
4	251B00000X	Case Management Agency
5	251J00000X	Nursing Care Agency
6	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1548050107
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IZYHEALTHCARE, LLC

Provider Business Mailing Address
First Line	:	12774 WISTERIA DR # 353
Second Line	:
City	:	GERMANTOWN
State	:	MD
Zip	:	20874-9998
Country	:	US
Telephone Number	:	240-865-3144
Fax Number	:	877-365-0899

Provider Business Practice Location Address
First Line	:	12774 WISTERIA DR # 353
Second Line	:
City	:	GERMANTOWN
State	:	MD
Zip	:	20874-9998
Country	:	US
Telephone Number	:	240-813-0304
Fax Number	:	641-206-7158

Authorized Official
Title or Position	:	CEO
Name	:	IZEKU IZIEGBE EKATAH
Credential	:	CRNP-PMHNP
Telephone Number	:	240-865-3144

Provider Enumeration Date	:	05/07/2025
Last Update Date	:	01/24/2026

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Directions to “IZYHEALTHCARE, LLC ” Practice Location

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