Individual provider Active NPI

Romanus Forka

  • Home Health Aide
  • Silver Spring, MD
National Provider Identifier
1205195815
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA2061 Issued in DC
Practice address
8812 Glenville Rd
Apt 2
Silver Spring, MD 20901-3868
Phone
(240) 551-1363
NPI assigned
May 16, 2012
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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 HHA2061 DC Primary

Addresses

Primary practice location

8812 Glenville Rd
Apt 2
Silver Spring, MD 20901-3868

Mailing address

8812 Glenville Rd
Apt 2
Silver Spring, MD 20901-3868
Phone (240) 551-1363

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
HHA2061DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1205195815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8812 GLENVILLE RD",
            "address_2": "APT 2",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209013868",
            "telephone_number": "240-551-1363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8812 GLENVILLE RD",
            "address_2": "APT 2",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209013868",
            "telephone_number": "240-551-1363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORKA",
        "first_name": "ROMANUS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-16",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA2061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.