Viani Grace Fombason

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HHA13369 Issued in DC

Practice address

2010 Rhode Island Ave NE
Washington, DC 20018-2835

Phone

(202) 526-3535

NPI assigned

Jan 24, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Allied Healthcare Services, LLC

  • Durable Medical Equipment & Medical Supplies
  • Washington, DC
  • NPI 1396083598
  NPD (past)

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516752000000",
    "number": "1922506971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5028 57TH AVE APT 304",
            "city": "BLADENSBURG",
            "state": "MD",
            "postal_code": "207101620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 RHODE ISLAND AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200182835",
            "telephone_number": "202-526-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOMBASON",
        "first_name": "VIANI",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA13369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jersy Fomanka, HHA
• Ngoh Raphael Fomba
• Victor Fomba
• Julius Fombah
• Marie Yvonne Fombason
• Frida Fombat
• Gremo Anyam Fombe
• Aben Fombi
• Doris Fombin
• Fogwe Fombo Winifred

• Home Health Aide in Washington, DC
• Providers in Washington, DC by specialty
• Home Health Aide in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.