Mrs. Elizabeth Formukong
Home Health Aide

Address: 1510 Mississippi Ave Se, Washington, DC 20032-4431
Phone: 2027163966

Mrs. Elizabeth Formukong (NPI# 1154929305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1154929305
Entity Type Individual
Full Name Mrs. Elizabeth Formukong
Gender Female
Practice Address 1510 Mississippi Ave Se
Washington
DC 20032-4431
Practice Telephone 2027163966
Mailing Address 1510 Mississippi Ave Se
Washington
DC 20032-4431
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-10-10
Last Update Date 2020-10-10

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 374U00000X Home Health Aide Nursing Service Related Providers DC

Other Provider Identifier

State Identifier Issuer Type Code
DC 70931318 MEDICAID

Taxonomy Information

Taxonomy Code 374U00000X
Grouping Nursing Service Related Providers
Classification Home Health Aide

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558969709 Obinna Mojekwu Ohaeri Home Health Aide 5312 E St Se Apt 101, Washington, DC 20019-6072 2020-10-10
1992303267 Khadijah Williams Home Health Aide 323 62nd St Ne Apt 102, Washington, DC 20019-2847 2020-10-09
1891393187 Helen Habte Andemichael Home Health Aide 1442 Somerset Pl Nw Apt A4, Washington, DC 20011-1041 2020-10-09
1588261036 Ryan Louis Carnota Home Health Aide 3003 Van Ness St Nw Apt S124, Washington, DC 20008-4721 2020-10-07
1396342127 Neal Frederique Yebga Ntap Home Health Aide 853 20th St Ne, Washington, DC 20002-4121 2020-10-05
1629675418 Shante V Brown Home Health Aide 5201 Hayes St Ne Apt 219, Washington, DC 20019-5564 2020-10-05
1639776628 Herman Clark Home Health Aide 4269 Edson Pl Ne, Washington, DC 20019-8024 2020-10-03
1922605955 Hirut E Chewaka Home Health Aide 1338 Nicholson St Nw, Washington, DC 20011-2836 2020-10-02
1528675709 Ronald Eugene Williams Home Health Aide 2639 Jasper St Se Apt 1, Washington, DC 20020-2024 2020-09-30
1821605536 Tarik Mickel Home Health Aide 1730 Stanton Ter Se, Washington, DC 20020-2824 2020-09-26
Find all providers in WASHINGTON

Office Location

Street Address 1510 MISSISSIPPI AVE SE
City WASHINGTON
State DC
Zip Code 20032-4431

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336753714 Ebonie Hawkins Counselor 101 Xenia St Suite 200 Sw, Washington, DC 20032 2020-09-03
1639788938 Richard Quinones Technician 4346 Livingston Rd Se, B, Washington, DC 20032 2020-07-23
1720603244 Ankur Sah Swarnakar Student in an Organized Health Care Education/Training Program 1100 Alabama Ave Southeast, 2nd Floor, Suite 238, Washington, DC 20032 2020-06-10
1225659519 Michael Thomas Moore Counselor 920 Belview St. Se, Washington, DC 20032 2020-04-28
1144878240 Erika Kirkpatrick Behavior Technician 1218 Southern Ave Apt304 Se, Washgton Dc, DC 20032 2019-08-31
1982251351 Agazit Asihel Counselor Friendship Charter School 645 Milwaukee Pl, Washington Dc, DC 20032 2019-08-21
1538715412 Omonike Grace Adeosun Home Health Aide 2625 Martin Luther King Jr Ave Se, Apt 1, Washington, DC 20032 2019-08-15
1932753571 Nadesh Mengwi Muluh Home Health Aide 2759 Martin Luther King Jr Avenue, Washington, DC 20032 2019-08-01
1376100115 Kelsey Hobart Student in an Organized Health Care Education/Training Program Dc Dbh Seh Psych Residency 1100 Alabama Avenue, Se, Suite 238, Washington, DC 20032 2019-05-28
1407321417 Abigail Christine Burke Physical Therapist 3146 Arnold Avenue Sw, Washington, DC 20032 2018-10-05
Find all providers in zip 20032

Competitor

Search similar providers

City WASHINGTON
Zip Code 20032

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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.