Andrew Kingue Dibonge, MS
Individual provider Active NPI Home Health Aide · Clarksburg, MD
NPI 1124520515 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1124520515
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- License
- NA
- Practice address
- 23304 Rainbow Arch Dr
Clarksburg, MD 20871-4449 - Phone
- (240) 234-2599
- NPI assigned
- Mar 1, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Giftie Medical Services | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | NA | Yes |
Addresses
Primary practice location
23304 Rainbow Arch Dr
Clarksburg, MD 20871-4449
Mailing address
23304 Rainbow Arch Dr
Clarksburg, MD 20871-4449
Phone (240) 234-2599
Other providers in Clarksburg, MD
- Areve Dela Cruz
- Destiny Health Care Services
- Devotion Care Inc.
- Devotion Home Care & Staffing Agency LLC
- Diagnosti Pathology Services, Inc
- Difara Construction LLC
- Kevin Dimarco
- Rebecca Dimmerling
- Discovering U Counseling LLC
- Divine Healthcare Services LLC
All providers in Clarksburg, MD · Home Health Aide in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.