MR. WILLIAM FOMINYAM


Address: 727 S Deerfield Cir Ste A, Arlington, TX 76015-3614
Phone: 5627547127

MR. WILLIAM FOMINYAM (NPI# 1083199715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083199715
Entity Type Individual
Full Name MR. WILLIAM FOMINYAM
Practice Address 727 S Deerfield Cir Ste A
Arlington
TX 76015-3614
Practice Telephone 5627547127
Mailing Telephone 5627547127
Enumeration Date 2018-09-28
Last Update Date 2018-09-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747P1801X Technician
Specialization: Personal Care Attendant
Nursing Service Related Providers

Office Location

Street Address 727 S DEERFIELD CIR STE A
City ARLINGTON
State TX
Zip Code 76015-3614

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Taxonomy Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
Notes: [7/1/2003: definition added]

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1306486899 Brittany Winslow Technician 2611 Richmond Hwy Ste 700, Arlington, VA 22202-4016 2020-01-13
1740758135 Jeanpierre Yoboue Technician 3412 Green Hill Dr, Arlington, TX 76014-3305 2018-11-05
1013493204 Marion Tamie Baul Technician 1504 Rockdale Dr, Arlington, TX 76018-2039 2018-07-11
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1053818872 Rhonda Kay Ward Technician 911 Walters Ln, Arlington, TX 76012-4726 2018-04-09
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Competitor

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City ARLINGTON
Zip Code 76015

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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