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GORDEN FON KEM BUMBARA
NPI 1104300102
Case Manager/Care Coordinator in Adelphi, MD

Active since September 17, 2018
1906 FOX ST, ADELPHI, MD 20783(240) 476-9815 Get Directions Write a Review

NPPES record last updated: August 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gorden Fon Kem Bumbara NPPES

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

GORDEN FON KEM BUMBARA (NPI 1104300102) is an individual case manager/care coordinator provider in Adelphi, Maryland and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1104300102
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameGORDEN FON KEM BUMBARA
Location Address1906 FOX STAdelphi, MD 20783-2359
Mailing Address1906 Fox StAdelphi, MD 20783-2359 · (240) 476-9815
Phone(240) 476-9815
Sole ProprietorYes
Enumeration DateSeptember 17, 2018
Last NPPES UpdateAugust 4, 2023
NPPES CertifiedAugust 4, 2023
✔ NPI 1104300102 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 ListedHome Health AideTaxonomy 374U00000X · License HHA13955 (DC)
1906 FOX ST, Adelphi, MD 20783
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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 Gorden Fon Kem Bumbara's NPI number?

The NPI number for Gorden Fon Kem Bumbara is 1104300102. It was assigned to this individual provider in the NPPES registry on September 17, 2018.

Where is Gorden Fon Kem Bumbara located?

Gorden Fon Kem Bumbara practices at 1906 Fox St, Adelphi, MD 20783. The listed phone number is (240) 476-9815.

What is Gorden Fon Kem Bumbara'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 Gorden Fon Kem Bumbara was last updated on August 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.