Active NPI
Divine C Nfor
- Nurse's Aide
- Laurel, MD
National Provider Identifier
1346831971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- Practice address
- 14111 Riverbirch CT
Laurel, MD 20707-9484 - Phone
- (702) 418-9063
- NPI assigned
- Jan 27, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | MD | Primary |
Addresses
Primary practice location
14111 Riverbirch CT
Laurel, MD 20707-9484
Mailing address
14111 Riverbirch CT
Laurel, MD 20707-9484
Phone (702) 418-9063
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1346831971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14111 RIVERBIRCH CT",
"city": "LAUREL",
"state": "MD",
"postal_code": "207079484",
"telephone_number": "702-418-9063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14111 RIVERBIRCH CT",
"city": "LAUREL",
"state": "MD",
"postal_code": "207079484",
"telephone_number": "702-418-9063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NFOR",
"first_name": "DIVINE",
"middle_name": "C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-27",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "MD",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laurel, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.