Individual provider Active NPI

Abimbola Afeni

  • Home Health Aide
  • Bladensburg, MD
National Provider Identifier
1730626185
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA12183 Issued in DC
Practice address
5013 Townsend Way
Apt C4
Bladensburg, MD 20710-1821
Phone
(240) 486-3173
NPI assigned
Jan 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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 HHA12183 DC Primary

Addresses

Primary practice location

5013 Townsend Way
Apt C4
Bladensburg, MD 20710-1821

Mailing address

5013 Townsend Way
Apt C4
Bladensburg, MD 20710-1821
Phone (240) 486-3173

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
HHA12183DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485216000000",
    "number": "1730626185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5013 TOWNSEND WAY",
            "address_2": "APT C4",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "207101821",
            "telephone_number": "240-486-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5013 TOWNSEND WAY",
            "address_2": "APT C4",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "207101821",
            "telephone_number": "240-486-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AFENI",
        "first_name": "ABIMBOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA12183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bladensburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.