Individual provider Active NPI

Forchick Stella Ewah

  • Home Health Aide
  • Hyattsville, MD
National Provider Identifier
1639439607
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
060910 Issued in DC
Practice address
6006 Queens Chapel Rd
Hyattsville, MD 20782-3073
Phone
(443) 858-1999
NPI assigned
May 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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 060910 DC Primary

Addresses

Primary practice location

6006 Queens Chapel Rd
Hyattsville, MD 20782-3073

Mailing address

6006 Queens Chapel Rd
Hyattsville, MD 20782-3073
Phone (443) 858-1999

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
060910DCMDPersonal Care Attendant

NPI Registry JSON

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1639439607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6006 QUEENS CHAPEL RD",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207823073",
            "telephone_number": "443-858-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6006 QUEENS CHAPEL RD",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207823073",
            "telephone_number": "443-858-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWAH",
        "first_name": "FORCHICK",
        "middle_name": "STELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "060910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hyattsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.