Laurelle Kongne

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HHA15487 Issued in DC

Practice address

908 Atlee Dr
Hyattsville, MD 20785-5959

Phone

(240) 828-0131

NPI assigned

Dec 9, 2020

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1265038756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 ATLEE DR",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207855959",
            "telephone_number": "240-828-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 ATLEE DR",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207855959",
            "telephone_number": "240-828-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONGNE",
        "first_name": "LAURELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA15487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA15487",
            "state": "DC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.icsprograms.com",
            "affiliation": "N",
            "address_1": "908 Atlee Dr",
            "city": "Hyattsville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207855959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Josiah O Koleosho
• Clarah Kombe Andukwa
• Amlavi Komla
• Maimouna Komla
• Promise Ndziti Konfor
• Denis Fongan Kongnyuy
• Mary Shaye Kongnyuy
• Frances O Koomson, PHARMD
• Amani N Kouadio
• Amani Ziki Kouadio

• Home Health Aide in Hyattsville, MD
• Providers in Hyattsville, 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 Dec 9, 2020; 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.