Fidelia Yaa Tufuor

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

16AL1264 Issued in MD

Practice address

9522 Piaffe Cir
Upper Marlboro, MD 20772-4681

Phone

(240) 274-4794

NPI assigned

Aug 27, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1902573850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9522 PIAFFE CIR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724681",
            "telephone_number": "240-274-4794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9522 PIAFFE CIR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207724681",
            "telephone_number": "240-274-4794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUFUOR",
        "first_name": "FIDELIA",
        "middle_name": "YAA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MD",
            "license": "16AL1264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "wecare@hebroncarecenter.com",
            "affiliation": "N",
            "address_1": "9522 Piaffe Cir",
            "city": "Upper Marlboro",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207724681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Assisted Living Facility in Upper Marlboro, MD
• Providers in Upper Marlboro, MD by specialty
• Assisted Living Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.