DIVINE FOMULYAM
NPI 1629772629
Technician - Personal Care Attendant in Washington, DC

Q: What is Divine Fomulyam's NPI number?

The NPI number for Divine Fomulyam is 1629772629. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Q: What is Divine Fomulyam's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

Q: When was this NPI record last updated?

The NPPES record for Divine Fomulyam was last updated on March 27, 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.

Active since March 27, 2023

213 L ST SW, WASHINGTON, DC 20024(240) 899-4815 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Divine Fomulyam NPPES

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

DIVINE FOMULYAM (NPI 1629772629) is an individual personal care attendant in Washington, District Of Columbia and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1629772629

Entity TypeIndividualMale

Primary Taxonomy3747P1801X

Provider Legal NameDIVINE FOMULYAM

Location Address213 L ST SWWashington, DC 20024-3607

Mailing Address14912 Doveheart LnBowie, MD 20721-3079 · (240) 548-7667

Phone(240) 899-4815

Sole ProprietorNo

Enumeration DateMarch 27, 2023

NPPES CertifiedMarch 27, 2023

✔ NPI 1629772629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers

Taxonomy Code3747P1801X

Definition

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

213 L ST SW, Washington, DC 20024

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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 Divine Fomulyam's NPI number?

The NPI number for Divine Fomulyam is 1629772629. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Divine Fomulyam located?

Divine Fomulyam practices at 213 L St SW, Washington, DC 20024. The listed phone number is (240) 899-4815.

What is Divine Fomulyam's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Divine Fomulyam was last updated on March 27, 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.