Provider Demographics
NPI:1124455407
Name:AKANDE, HELENE (LPN)
Entity type:Individual
Prefix:
First Name:HELENE
Middle Name:
Last Name:AKANDE
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5804 ANNAPOLIS RD
Mailing Address - Street 2:APT. #614
Mailing Address - City:BLADENSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20710-2076
Mailing Address - Country:US
Mailing Address - Phone:301-828-7341
Mailing Address - Fax:202-635-5756
Practice Address - Street 1:1731 BUNKER HILL RD NE
Practice Address - Street 2:SUITE 274
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-3026
Practice Address - Country:US
Practice Address - Phone:202-635-5756
Practice Address - Fax:202-635-5780
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-02
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLPN1006762251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC055705600Medicaid