Individual provider Active NPI

Helen Tonjock Fonge, HHA

  • Home Health Aide
  • Hyattsville, MD
National Provider Identifier
1144881616
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA14546 Issued in DC
Practice address
2306 Brightseat Rd Apt 5
Hyattsville, MD 20785-3550
Phone
(323) 679-7544
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA14546 DC Primary

Addresses

Primary practice location

2306 Brightseat Rd Apt 5
Hyattsville, MD 20785-3550

Mailing address

2306 Brightseat Rd Apt 5
Landover, MD 20785-3550
Phone (323) 679-7544

Other identifiers 1

IdentifierTypeStateIssuer
HHA14546MedicaidDC

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL HYATTSVILLE Health Information Exchange (HIE)
FHIR URL NA Health Information Exchange (HIE)

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
HHA14546DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1144881616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 BRIGHTSEAT RD APT 5",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207853550",
            "telephone_number": "323-679-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 BRIGHTSEAT RD APT 5",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207853550",
            "telephone_number": "323-679-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONGE",
        "first_name": "HELEN",
        "middle_name": "TONJOCK",
        "credential": "HHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA14546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA14546",
            "state": "DC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HYATTSVILLE",
            "affiliation": "N",
            "endpointDescription": "URL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HYATTSVILLE",
            "address_1": "2306 Brightseat Rd Apt 5",
            "city": "Hyattsville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207853550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "NA",
            "affiliation": "N",
            "endpointDescription": "NA",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HYATTSVILLE",
            "address_1": "2306 Brightseat Rd Apt 5",
            "city": "Hyattsville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207853550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.