Active NPI
Divine Etome Ngomba
- Home Health Aide
- Lanham, MD
National Provider Identifier
1437082542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA200006091
- Practice address
- 9102 7TH St
Lanham, MD 20706-2745 - Phone
- (240) 495-9551
- NPI assigned
- Jun 8, 2026
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | HHA200006091 | DC | Primary |
Addresses
Primary practice location
9102 7TH St
Lanham, MD 20706-2745
Mailing address
9102 7TH St
Lanham, MD 20706-2745
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": "1780876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780876800000",
"number": "1437082542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9102 7TH ST",
"city": "LANHAM",
"state": "MD",
"postal_code": "207062745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9102 7TH ST",
"city": "LANHAM",
"state": "MD",
"postal_code": "207062745",
"telephone_number": "240-495-9551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGOMBA",
"first_name": "DIVINE",
"middle_name": "ETOME",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-06-08",
"last_updated": "2026-06-08",
"certification_date": "2026-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA200006091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lanham, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.