Mispa Afor Fongyen

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HHA11010 Issued in DC

Practice address

8012 Craddock Rd
Greenbelt, MD 20770-3050

Phone

(240) 854-0908

NPI assigned

Jan 20, 2015

Last updated

Feb 13, 2024By 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 1

Addresses

Other names 1

• Mispa Omojuwa Former name

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": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1316336977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 KENILWORTH AVE APT 409W",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "207102138",
            "telephone_number": "301-458-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8012 CRADDOCK RD",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207703050",
            "telephone_number": "240-854-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFOR FONGYEN",
        "first_name": "MISPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA11010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MISPA",
            "last_name": "OMOJUWA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Home Health Aide in Greenbelt, MD
• Providers in Greenbelt, 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 Feb 13, 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.