Individual provider Active NPI

Ezekiel Tacham Azemagah

  • Home Health Aide
  • Bladensburg, MD
National Provider Identifier
1932062486
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
4241 58TH Ave Apt 10
Bladensburg, MD 20710-1934
Phone
(240) 467-0319
NPI assigned
Dec 3, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X HHA200005704 DC

Addresses

Primary practice location

4241 58TH Ave Apt 10
Bladensburg, MD 20710-1934

Mailing address

4241 58TH Ave Apt 10
Bladensburg, MD 20710-1934
Phone (240) 467-0319

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
HHA200005704DCMDPersonal Care Attendant

NPI Registry JSON

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

{
    "created_epoch": "1764720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771977600000",
    "number": "1932062486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 58TH AVE APT 10",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "207101934",
            "telephone_number": "240-467-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 58TH AVE APT 10",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "207101934",
            "telephone_number": "240-467-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZEMAGAH",
        "first_name": "EZEKIEL TACHAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-03",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "DC",
            "license": "HHA200005704",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bladensburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.