Individual provider Active NPI

Queendoline Nfor, HHA

  • Home Health Aide
  • Washington, DC
National Provider Identifier
1669873410
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA10941 Issued in DC
Practice address
6110 7TH St NW
Washington, DC 20011-1204
Phone
(202) 709-1027
Fax
(202) 635-5780
NPI assigned
Sep 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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 HHA10941 DC Primary

Addresses

Primary practice location

6110 7TH St NW
Washington, DC 20011-1204

Mailing address

6110 7TH St NW
Washington, DC 20011-1204
Phone (202) 709-1027

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
HHA10941DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410393600000",
    "number": "1669873410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 7TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200111204",
            "telephone_number": "202-709-1027",
            "fax_number": "202-635-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6110 7TH ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200111204",
            "telephone_number": "202-709-1027",
            "fax_number": "202-635-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NFOR",
        "first_name": "QUEENDOLINE",
        "credential": "HHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA10941",
            "primary": true
        }
    ],
    "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 11, 2014; 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.