Asongafac Mabeh Tazanu
Home Health Aide in Takoma Park, MD. Individual provider (NPI-1).
NPI number1376802124
StatusActive
Last updated in NPPESMay 15, 2012
Details
- NPI
- 1376802124
- Entity type
- Individual (NPI-1)
- Name
- Asongafac Mabeh Tazanu
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 15, 2012
- Last updated
- May 15, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | T250072015858 | MD | Yes |
Practice location
6735 New Hampshire AveApt 1209
Takoma Park, MD 20912-4865
Phone 240-701-4087
Mailing address
6735 New Hampshire AveApt 1209
Takoma Park, MD 20912-4865
Phone 240-701-4087
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 392 Home Health Aide providers in Takoma Park · All 1,171 providers in Takoma Park
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