CLIVE NKAFU FOMENKY
NPI 1811284797
Licensed Practical Nurse in Englewood, OH

Active since June 29, 2011
4613 CUTLASS DR, ENGLEWOOD, OH 45322(937) 248-6394 Get Directions Write a Review

NPPES record last updated: June 29, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clive Nkafu Fomenky NPPES

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

CLIVE NKAFU FOMENKY (NPI 1811284797) is an individual licensed practical nurse in Englewood, Ohio, licensed in Ohio (132880) and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1811284797
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameCLIVE NKAFU FOMENKY
Location Address4613 CUTLASS DREnglewood, OH 45322-2515
Mailing Address4613 Cutlass DrEnglewood, OH 45322-2515 · (937) 248-6394
Sole ProprietorYes
Enumeration DateJune 29, 2011
NPI 1811284797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in OH · 132880
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
4613 CUTLASS DR, Englewood, OH 45322

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.

Home Health
4613 CUTLASS DR
ENGLEWOOD, OH 45322
Home Health
4613 CUTLASS DR
ENGLEWOOD, OH 45322

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 Clive Fomenky's NPI number?

The NPI number for Clive Fomenky is 1811284797. It was assigned to this individual provider in the NPPES registry on June 29, 2011.

Where is Clive Fomenky located?

Clive Fomenky practices at 4613 Cutlass Dr, Englewood, OH 45322. The listed phone number is (937) 248-6394.

What is Clive Fomenky's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Clive Fomenky was last updated on June 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.