1. Home
  2. Directory
  3. Maryland
  4. Riverdale
  5. Home Health Aide
  6. NPI Profile

CLOVIS FONTEBO AZAAH
NPI 1104582204
Home Health Aide in Riverdale, MD

Active since November 12, 2021
6823A RIVERDALE RD APT A2, RIVERDALE, MD 20737(240) 487-8425 Get Directions Write a Review

NPPES record last updated: November 12, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Clovis Fontebo Azaah NPPES

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

CLOVIS FONTEBO AZAAH (NPI 1104582204) is an individual home health aide in Riverdale, Maryland and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1104582204
Entity TypeIndividualMale
Primary Taxonomy374U00000X
Provider Legal NameCLOVIS FONTEBO AZAAH
Location Address6823A RIVERDALE RD APT A2Riverdale, MD 20737-1838
Mailing Address6823a Riverdale Rd Apt A2Riverdale, MD 20737-1838 · (240) 487-8425
Phone(240) 487-8425
Sole ProprietorNo
Enumeration DateNovember 12, 2021
NPPES CertifiedNovember 12, 2021
✔ NPI 1104582204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
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.
6823A RIVERDALE RD APT A2, Riverdale, MD 20737
Open in Google Maps ↗

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 Clovis Fontebo Azaah's NPI number?

The NPI number for Clovis Fontebo Azaah is 1104582204. It was assigned to this individual provider in the NPPES registry on November 12, 2021.

Where is Clovis Fontebo Azaah located?

Clovis Fontebo Azaah practices at 6823A Riverdale Rd Apt A2, Riverdale, MD 20737. The listed phone number is (240) 487-8425.

What is Clovis Fontebo Azaah's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Clovis Fontebo Azaah was last updated on November 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.