Bella Javis Tandungang

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HHA20005499 Issued in DC

Practice address

14110 Kydan CT
Brandywine, MD 20613-6124

Phone

(240) 437-8675

NPI assigned

Oct 24, 2025

Last updated

Oct 24, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1761264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1619845344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14110 KYDAN CT",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206136124",
            "telephone_number": "240-437-8675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14110 KYDAN CT",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206136124",
            "telephone_number": "240-437-8675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANDUNGANG",
        "first_name": "BELLA",
        "middle_name": "JAVIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-24",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA20005499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Aide in Brandywine, MD
• Providers in Brandywine, MD by specialty
• Home Health Aide in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.