Provider Demographics
NPI:1801511407
Name:AKANDE, IKE ADE
Entity type:Individual
Prefix:
First Name:IKE ADE
Middle Name:
Last Name:AKANDE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8583 GREENBELT RD APT 101
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2349
Mailing Address - Country:US
Mailing Address - Phone:732-357-6979
Mailing Address - Fax:
Practice Address - Street 1:8583 GREENBELT RD APT 101
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2349
Practice Address - Country:US
Practice Address - Phone:732-357-6979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-05
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA200002283374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide