Formkind Health LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

FORMKIND HEALTH LLC

Practice address

300 Delaware Ave Ste 210
Wilmington, DE 19801-6601

Phone

(302) 400-0094

Fax

(610) 222-7178

NPI assigned

Sep 12, 2025

Last updated

Sep 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Grace Kibue, PHD, FNP-CNPI 1427592492

Title

Nurse Practitioner/Ceo

Phone

(610) 517-2204

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Grace Kibue, CRNP

  • Nurse Practitioner
  • Pottstown, PA
  • NPI 1427592492
  NPD Authorized official

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

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1427929546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 ABERDARE LN",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411901",
            "telephone_number": "610-517-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 DELAWARE AVE STE 210",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198016601",
            "telephone_number": "302-400-0094",
            "fax_number": "610-222-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORMKIND HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-08-31",
        "status": "A",
        "authorized_official_last_name": "KIBUE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/CEO",
        "authorized_official_telephone_number": "610-517-2204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Ford
• Helen C. Ford, LMFT
• Jacqueline Paige Ford, MOT, OTR/L
• Nashia Foreman, LBS
• Magan Forman, PT
• Kathleen Forrest, PTA
• Fortitude Counseling, Inc
• Howard Andrew Fortner, DPT, PT
• Forward Bound LLC
• Brittany Mimeault Foster, D.O.

• Health Service Clinic/Center in Wilmington, DE
• Providers in Wilmington, DE by specialty
• Health Service Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.