Elie Tebah Fombele

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HHA14065 Issued in DC

Practice address

9897 Good Luck Rd Apt 10
Lanham, MD 20706-3285

Phone

(240) 714-8876

NPI assigned

Nov 12, 2018

Last updated

Nov 12, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541980800000",
    "number": "1790253359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9897 GOOD LUCK RD APT 10",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063285",
            "telephone_number": "240-714-8876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9897 GOOD LUCK RD APT 10",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063285",
            "telephone_number": "240-714-8876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOMBELE",
        "first_name": "ELIE",
        "middle_name": "TEBAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-12",
        "last_updated": "2018-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA14065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linsly Achick Fokabo
• Achianu Divine Folefac
• Ashley Foley
• Bintu Fomba
• Mervyn Fombe-Abiko
• Caleb Forkwa Fomben
• Divine Achosei Fon
• George Tekwe Fon
• Hosea M Fon
• Irene Njweng Fon

• Home Health Aide in Lanham, MD
• Providers in Lanham, MD by specialty
• Home Health Aide in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2018; 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.