LIVET ECHICK MUKUM FONGANG (NPI# 1447780366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447780366 |
| Entity Type | Individual |
| Full Name | LIVET ECHICK MUKUM FONGANG |
| Practice Address |
4506 Woodgate Way Bowie MD 20720-3449 |
| Practice Telephone | 2407148332 |
| Mailing Telephone | 2407148332 |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2018-03-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | HHA12593 | DC | Nursing Service Related Providers |
| Street Address |
4506 WOODGATE WAY |
| City | BOWIE |
| State | MD |
| Zip Code | 20720-3449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609342195 | Emma Kien Akuma | Home Health Aide | 4506 Woodgate Way, Bowie, MD 20720-3449 | 2018-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487293940 | Open Door Outreach Center | Meals | 13604 Old Annapolis Road, Bowie, MD 20720 | 2020-01-02 |
| 1447714316 | Sandra Williams | Durable Medical Equipment & Medical Supplies | 6413, Gwinnett Lane, Bowie, MD 20720 | 2019-01-24 |
| 1952896458 | Carolyn Simms | Counselor | 10111 Martin Luther King Hwy, Suite 103, Bowie, MD 20720 | 2018-06-27 |
| 1538652227 | Fabienne Bonaventure | Counselor | 13014 5th St, Bowie, MD 20720 | 2018-06-07 |
| 1225544356 | Clear Hearing Solutions, LLC | Audiologist-Hearing Aid Fitter | 12420f Fairwood Parkway, Suite 103, Bowie, MD 20720 | 2017-12-27 |
| 1083132419 | Abibatu Kamara | Behavioral Analyst | 4806 Silverbrook Way, Bowie, MD 20720 | 2017-09-06 |
| 1427576040 | Valor Health, Inc. | Art Therapist | 11310 Sperry Stream Way, Bowie, MD 20720 | 2017-09-04 |
| 1164944682 | Healing and Helping Practice | Psychologist | 14331 Old Stage Rd., Bowie, MD 20720 | 2017-07-17 |
| 1043749468 | Ccc Healthcare, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4205 Hatties Progress Drive, Bowie, MD 20720 | 2017-06-08 |
| 1265969802 | Harry Thomas Washington Jr. | Counselor | 10111 Martin Luther King Jr. Highway, Suite 200, Bowie, MD 20720 | 2017-05-14 |
| Find all providers in zip 20720 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518566959 | Temitope Hassan57 Okuneye | Home Health Aide | 2376 Mitchellville Rd, Bowie, MD 20716-1577 | 2020-10-17 |
| 1619581774 | Ogochukwu Nwude | Home Health Aide | 11001 Royal Grant Cir, Bowie, MD 20721-2278 | 2020-09-04 |
| 1952911539 | Risikat Oluwakemi Bolaji | Home Health Aide | 4000 Winchester Ln, Bowie, MD 20715-1270 | 2020-08-07 |
| 1841813854 | Therese Ambang Atanga Epse Tawah | Home Health Aide | 13108 Jordans Endeavor Dr, Bowie, MD 20720-3393 | 2020-05-26 |
| 1710507975 | Magdalene Watta Tangula | Home Health Aide | 9106 Myrtle Ave, Bowie, MD 20720-3223 | 2020-04-17 |
| 1154957801 | Laura Binguo Anghie | Home Health Aide | 15003 Jorrick Ct, Bowie, MD 20721-7295 | 2020-03-13 |
| 1356981344 | Ladi Tiku Fri | Home Health Aide | 2508 Brooke Grove Rd, Bowie, MD 20721-1885 | 2020-01-08 |
| 1861031155 | Amina T Change | Home Health Aide | 15911 Pointer Ridge Dr, Bowie, MD 20716-1742 | 2020-01-03 |
| 1962040113 | Violet Nonye Nkemdirim | Home Health Aide | 4003 Larga Vista Ct, Bowie, MD 20721-4062 | 2019-12-18 |
| 1497398713 | Olutayo Shade Amosu | Home Health Aide | 16229 Presidio Way, Bowie, MD 20716-1913 | 2019-10-18 |
| Find all providers in BOWIE | ||||
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| 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.