Active NPI
Rita Mformen
- Community/Behavioral Health Agency
- Lexington PK, MD
National Provider Identifier
1912372483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Practice address
- 46860 Hilton Dr Apt 1131
Lexington PK, MD 20653-3730 - Phone
- (202) 378-0513
- NPI assigned
- Dec 9, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | HHA11702 | DC | |
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
46860 Hilton Dr Apt 1131
Lexington PK, MD 20653-3730
Mailing address
46860 Hilton Dr Apt 1131
Lexington PK, MD 20653-3730
Phone (202) 378-0513
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HHA11702 | Other | DC | HOME HEALTH AIDE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| HHA11702 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1912372483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46860 HILTON DR APT 1131",
"city": "LEXINGTON PK",
"state": "MD",
"postal_code": "206533730",
"telephone_number": "202-378-0513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46860 HILTON DR APT 1131",
"city": "LEXINGTON PK",
"state": "MD",
"postal_code": "206533730",
"telephone_number": "202-378-0513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MFORMEN",
"first_name": "RITA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-09",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA11702",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME HEALTH AIDE",
"identifier": "HHA11702",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington PK, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.