ELIZABETH FORMUKONG
Home Health Aide

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

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 ID (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
Certification Date 2020-10-10
Enumeration Date 2020-10-10
Last Update Date 2020-10-10
Is Sole Proprietor Y

Taxonomy

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

Other Provider Identifiers

Identifier State Issuer Type Code
70931318 DC MEDICAID

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
1932616885 Wendy Napoleon Counselor - Mental Health 1506 Mississippi Ave Se, Washington, DC 20032-4431 2018-01-01

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1265961676 Atasia Stevenson Home Health Aide 607 Savannah St Se, Apt 3, Washington, DC 20032 2017-06-08
1891383287 Carolyn Evelyn Peterson Home Health Aide 3016 Martin Luther Kinng Jr. Ave Se, Washington, DC 20032 2021-01-01
1376078469 Daja Moorer Home Health Aide 3322 14th Pl Se, Apt#302, Washington, DC 20032 2017-04-26
1841712775 Nelly M Ngadie Home Health Aide 4660 Martin Luther King Jr Ave Sw Apt B608, Washington, DC 20032 2017-07-12
1306433644 Southern Ave Sp LLC · Livingston Place Assisted Living Facility 4656 Livingston Rd. Se, Washington Dc, DC 20032 2020-12-21
1477082899 Khadijah Alima Long Home Health Aide 609 Forrester St Se, Washington, DC 20032 2017-06-08
1225659519 Michael Thomas Moore Counselor - Addiction (Substance Use Disorder) 920 Belview St. Se, Washington, DC 20032 2020-04-28
1538715412 Omonike Grace Adeosun Home Health Aide 2625 Martin Luther King Jr Ave Se, Apt 1, Washington, DC 20032 2019-08-15
1962997429 Kavondra Thomas Technician - Personal Care Attendant 303 Livingston Terrance Se Apt B, Apt B, Washington, DC 20032 2018-06-27
1932753571 Nadesh Mengwi Muluh Home Health Aide 2759 Martin Luther King Jr Avenue, Washington, DC 20032 2019-08-01
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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
1902480841 Edna Denise Boone Home Health Aide 1710 22nd St Se, Washington, DC 20020-4508 2021-05-06
1588247258 Tammy Denise Moody Home Health Aide 3005 Bladensburg Rd Ne Apt 816, Washington, DC 20018-2213 2021-04-30
1477136166 Crystal Gafford Home Health Aide 1907 Savannah Terrace Se #201, Washington, DC 20020 2021-04-30
1366024317 Semone M Snipe Rivers Home Health Aide 116 T St Ne Apt 244, Washington, DC 20002-5122 2021-04-28
1255913406 Deborah Oliver · Deborah Oliver Home Health Aide 112 Galveston St Sw Apt T2, Washington, DC 20032-1124 2021-04-27
1407438666 Zenola Malone Home Health Aide 1113 Clifton St Nw, Washington, DC 20009-5206 2021-04-26
1861073868 Adair House LLC Home Health Aide 4905 Sheriff Rd Ne, Washington, DC 20019-4802 2021-04-20
1689255317 Jamika Cozart Home Health Aide 1517 Benning Rd Ne Apt J12, Washington, DC 20002-8512 2021-04-15
1225619976 Wilda Amanda Budd Home Health Aide 1050 New Jersey Ave Nw Apt 607, Washington, DC 20001-1345 2021-04-15
1841870995 Sedana Michelle Gaskins I Home Health Aide 301 33rd St Se Apt 303, Washington, DC 20019-2423 2021-04-13
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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.