Individual provider Active NPI

Alexander Achafac Afueh

  • Home Health Aide
  • Laurel, MD
National Provider Identifier
1376350249
Registry record updated Dec 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA200004387 Issued in DC
Practice address
13020 Laurel Bowie Rd
Laurel, MD 20708-2131
Phone
(240) 861-1437
NPI assigned
Dec 14, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA200004387 DC Primary

Addresses

Primary practice location

13020 Laurel Bowie Rd
Laurel, MD 20708-2131

Mailing address

13020 Laurel Bowie Rd
Laurel, MD 20708-2131
Phone (240) 861-1437

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
HHA200004387DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1734134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734134400000",
    "number": "1376350249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13020 LAUREL BOWIE RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082131",
            "telephone_number": "240-861-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13020 LAUREL BOWIE RD",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082131",
            "telephone_number": "240-861-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFUEH",
        "first_name": "ALEXANDER",
        "middle_name": "ACHAFAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-14",
        "last_updated": "2024-12-14",
        "certification_date": "2024-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA200004387",
            "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 Dec 14, 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.