Individual provider Active NPI

Vitalis Songeh Kongui

  • Home Health Aide
  • Bowie, MD
National Provider Identifier
1801454095
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA14458 Issued in DC
Practice address
10206 Indian Summer CT
Bowie, MD 20721-3178
Phone
(202) 883-2446
NPI assigned
Jun 3, 2019
Last updated
Jun 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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 HHA14458 DC Primary

Addresses

Primary practice location

10206 Indian Summer CT
Bowie, MD 20721-3178

Mailing address

10206 Indian Summer CT
Bowie, MD 20721-3178
Phone (202) 883-2446

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
HHA14458DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1801454095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10206 INDIAN SUMMER CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213178",
            "telephone_number": "202-883-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10206 INDIAN SUMMER CT",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207213178",
            "telephone_number": "202-883-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONGUI",
        "first_name": "VITALIS SONGEH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-03",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA14458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2019; 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.