Lidwina Bohmbed Fonmboh

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HHA12971 Issued in DC

Practice address

6838 Riverdale Rd Apt 101
Lanham, MD 20706-1046

Phone

(240) 423-7155

NPI assigned

Oct 10, 2017

Last updated

Nov 1, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1285144790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6838 RIVERDALE RD APT 101",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207061046",
            "telephone_number": "240-423-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6838 RIVERDALE RD APT 101",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207061046",
            "telephone_number": "240-423-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONMBOH",
        "first_name": "LIDWINA",
        "middle_name": "BOHMBED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA12971",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "DC",
            "license": "12971",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• For Every Mountain Counseling Services LLC
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• Home Health Aide in Lanham, MD
• Providers in Lanham, 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 1, 2017; 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.