Individual provider Active NPI

Grace Nayah Momfor

  • Nurse's Aide
  • Washington, DC
National Provider Identifier
1356070676
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
NA0000813301 Issued in DC
Practice address
1220 12TH St SE Ste G35
Washington, DC 20003-3738
Phone
(202) 544-8090
Fax
(202) 544-8091
NPI assigned
Jun 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X NA0000813301 DC Primary

Addresses

Primary practice location

1220 12TH St SE Ste G35
Washington, DC 20003-3738

Mailing address

3303 Dodge Park Rd
Hyattsville, MD 20785-2106
Phone (614) 256-4087

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

State licenses

LicenseStateTypeSpecialty
NA0000813301DCMDNurse's Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Eden Home Care LLC Current Accepting new patients
Universal Home Healthcare Inc. PastSince Jun 12, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1356070676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 DODGE PARK RD",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207852106",
            "telephone_number": "614-256-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 12TH ST SE STE G35",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033738",
            "telephone_number": "202-544-8090",
            "fax_number": "202-544-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYAH MOMFOR",
        "first_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "DC",
            "license": "NA0000813301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.