Individual provider Active NPI

Lusciene Ndifor Umeayugho

  • Home Health Aide
  • Upper Marlboro, MD
National Provider Identifier
1679395263
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA200004384 Issued in DC
Practice address
9435 Fairhaven Ave
Upper Marlboro, MD 20772-5363
Phone
(202) 527-5470
NPI assigned
Oct 25, 2024
Last updated
May 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Community Health Worker 172V00000X
Home Health Aide 374U00000X HHA200004384 DC Primary

Addresses

Primary practice location

9435 Fairhaven Ave
Upper Marlboro, MD 20772-5363

Mailing address

9435 Fairhaven Ave
Upper Marlboro, MD 20772-5363
Phone (202) 527-5470

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
HHA200004384DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1679395263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9435 FAIRHAVEN AVE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207725363",
            "telephone_number": "202-527-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9435 FAIRHAVEN AVE",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207725363",
            "telephone_number": "202-527-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UMEAYUGHO",
        "first_name": "LUSCIENE",
        "middle_name": "NDIFOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-25",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA200004384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.