Individual ProviderTytrice Amica HendersonCase Manager/Care CoordinatorOther Service ProvidersPractice Address1301 L'Enfant Square SE,, Wasshington, DC 20020(202) 213-2835PECOS EnrollmentBased on the most recent information from CMS, provider Tytrice Amica Henderson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1427862226Provider TypeIndividualFull NameHenderson, Tytrice AmicaGenderFemaleSole ProprietorYesEnumeration Date2/3/2025Last Updated2/20/2025Contact InformationPractice LocationPractice Address1301 L'Enfant Square SE,, Wasshington, DC 20020Phone(202) 213-2835FaxUnlisted FaxMailing LocationMailing Address1301 L'Enfant Square SE,, Wasshington, DC 20020Phone(202) 213-2835FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerCode3747P1801XDescriptionTechnicianNursing Service Related ProvidersLicenseUnlisted Issuer