Daneisha Forman

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

4209 28TH Ave Apt 203
Temple Hills, MD 20748-1731

Phone

(252) 412-2344

NPI assigned

Nov 8, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1215701412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4209 28TH AVE APT 203",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4209 28TH AVE APT 203",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481731",
            "telephone_number": "252-412-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORMAN",
        "first_name": "DANEISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Medical Service LLC.
• Carlton Ferebee, DPT
• Lolita P Fields
• For US Therapeutics Counseling & Consulting Services, LLC
• Lucia Forbin, NP-C
• Jasemon Franklin
• Rawlda Freeman, PT
• Stella S Fru
• Galaxy Medical Services, LLC
• Shivanthidevi Gandhi, MD

• Home Health Aide in Temple Hills, MD
• Providers in Temple Hills, MD by specialty
• Home Health Aide in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.