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CHARLES FONGOH
NPI 1073284808
Case Manager/Care Coordinator in Capitol Heights, MD

Active since September 22, 2021
5614 MALVERN WAY, CAPITOL HEIGHTS, MD 20743(443) 366-0957 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2024, Sep 22, 2021 (2 updates tracked since 2021).

About Charles Fongoh NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES FONGOH (NPI 1073284808) is an individual case manager/care coordinator provider in Capitol Heights, Maryland and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1073284808
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameCHARLES FONGOH
Location Address5614 MALVERN WAYCapitol Heights, MD 20743-3051
Mailing Address5614 Malvern WayCapitol Heights, MD 20743-3051 · (443) 366-0957
Phone(443) 366-0957
Sole ProprietorYes
Enumeration DateSeptember 22, 2021
Last NPPES UpdateAugust 8, 20242 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
✔ NPI 1073284808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedNurse's AideTaxonomy 376K00000X · License A00197241 (MD)
5614 MALVERN WAY, Capitol Heights, MD 20743
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Fongoh's NPI number?

The NPI number for Charles Fongoh is 1073284808. It was assigned to this individual provider in the NPPES registry on September 22, 2021.

Where is Charles Fongoh located?

Charles Fongoh practices at 5614 Malvern Way, Capitol Heights, MD 20743. The listed phone number is (443) 366-0957.

What is Charles Fongoh's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Charles Fongoh was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.