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BONIFACE LEBOG
NPI 1356029003
Case Manager/Care Coordinator in Bowie, MD

Active since July 11, 2023
2508 BROOKE GROVE RD, BOWIE, MD 20721(202) 894-6811 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2023, Jul 11, 2023 (2 updates tracked since 2023).

About Boniface Lebog NPPES

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

BONIFACE LEBOG (NPI 1356029003) is an individual case manager/care coordinator provider in Bowie, Maryland and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1356029003
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameBONIFACE LEBOG
Location Address2508 BROOKE GROVE RDBowie, MD 20721-1885
Mailing Address2508 Brooke Grove RdBowie, MD 20721-1885 · (240) 886-7978
Phone(202) 894-6811
Sole ProprietorYes
Enumeration DateJuly 11, 2023
Last NPPES UpdateJuly 21, 20232 updates tracked since enumeration
NPPES CertifiedJuly 21, 2023
✔ NPI 1356029003 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 ListedCommunity/Behavioral HealthTaxonomy 251S00000X
2508 BROOKE GROVE RD, Bowie, MD 20721
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LADI TIKU FRI
Case Manager/Care Coordinator
2508 BROOKE GROVE RD
BOWIE, MD 20721
Prince George's County (651) 447-0757
GENESIS ADE TAMITAN
Home Health Aide
2508 BROOKE GROVE RD
BOWIE, MD 20721
Prince George's County (240) 795-7583

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 Boniface Lebog's NPI number?

The NPI number for Boniface Lebog is 1356029003. It was assigned to this individual provider in the NPPES registry on July 11, 2023.

Where is Boniface Lebog located?

Boniface Lebog practices at 2508 Brooke Grove Rd, Bowie, MD 20721. The listed phone number is (202) 894-6811.

What is Boniface Lebog'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 Boniface Lebog was last updated on July 21, 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.