Active NPI
Brandon C Fobeteh
- Home Health Aide
- Washington, DC
National Provider Identifier
1891055315
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Sep 20, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 6856 Eastern Ave NW
Washington, DC 20012-2165 - Phone
- (202) 545-0936
- NPI assigned
- May 17, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | DC | Primary |
Addresses
Primary practice location
6856 Eastern Ave NW
Washington, DC 20012-2165
Mailing address
9166 Springhill LN
Greenbelt, MD 20770-1202
Phone (301) 281-7647
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337212800000",
"number": "1891055315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9166 SPRINGHILL LN",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207701202",
"telephone_number": "301-281-7647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6856 EASTERN AVE NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200122165",
"telephone_number": "202-545-0936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FOBETEH",
"first_name": "BRANDON",
"middle_name": "C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-17",
"last_updated": "2012-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.