Active NPI
Abie J Fofanah
- Home Health Aide
- Washington, DC
National Provider Identifier
1609587948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA200002762
- Practice address
- 721 48TH St NE # East
Washington, DC 20019-3607 - Phone
- (202) 541-9844
- NPI assigned
- Dec 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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.
-
- Home Health Agency
- Capitol Heights, MD
- NPI 1124114558
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
| License | State | Type | Specialty |
|---|---|---|---|
| HHA200002762 | DC | MD | Home Health Aide |
| CNA20224242 | MD | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linac Services Inc | Past | Accepting new patients |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | HHA200002762 | DC | Primary |
| Nurse's Aide | 376K00000X | CNA20224242 | MD |
Addresses
NPPES NPI RegistryPrimary practice location
721 48TH St NE # East
Washington, DC 20019-3607
Mailing address
4603 Margie CT
Lanham, MD 20706-1985
Phone (240) 938-5077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 22, 2025.
{
"created_epoch": "1670371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758499200000",
"number": "1609587948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4603 MARGIE CT",
"city": "LANHAM",
"state": "MD",
"postal_code": "207061985",
"telephone_number": "240-938-5077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 48TH ST NE # EAST",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200193607",
"telephone_number": "202-541-9844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOFANAH",
"first_name": "ABIE",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-07",
"last_updated": "2025-09-22",
"certification_date": "2025-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA200002762",
"primary": true
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "MD",
"license": "CNA20224242",
"primary": false
}
],
"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 Sep 22, 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.