Individual provider Active NPI

Batomen Marcelle Fabo I, D

  • Home Health Aide
  • Takoma Park, MD
National Provider Identifier
1871934927
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA6918
Practice address
6733 New Hampshire
#509
Takoma Park, MD 20912
Phone
(561) 306-0988
NPI assigned
Jul 17, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA6918 DC
Health Maintenance Organization 302R00000X HHA6918 DC
Home Health Aide 374U00000X HHA6918 Primary

Addresses

Primary practice location

6733 New Hampshire
#509
Takoma Park, MD 20912

Mailing address

1210 Myrtle Ave Apt 101
Takoma Park, MD 20912-6506
Phone (561) 306-0988

Other names 1

  • Miss Batomen Marcelle Fabo I Other name

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
HHA6918DCMDHealth Maintenance Organization

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1871934927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 MYRTLE AVE APT 101",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209126506",
            "telephone_number": "561-306-0988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6733 NEW HAMPSHIRE",
            "address_2": "#509",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "20912",
            "telephone_number": "561-306-0988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABO",
        "first_name": "BATOMEN",
        "middle_name": "MARCELLE",
        "name_prefix": "Miss",
        "name_suffix": "I",
        "credential": "D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-17",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "DC",
            "license": "HHA6918",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "DC",
            "license": "HHA6918",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": "HHA6918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BATOMEN",
            "last_name": "FABO",
            "middle_name": "MARCELLE",
            "prefix": "MISS",
            "suffix": "I",
            "credential": "D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.