DIVINE MOFOR FOMINKA
NPI 1841154010
Home Health Aide in Bowie, MD

Active since December 12, 2025
908 LAKE FRONT DR, BOWIE, MD 20721(719) 725-9850 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Divine Mofor Fominka NPPES

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

DIVINE MOFOR FOMINKA (NPI 1841154010) is an individual home health aide in Bowie, Maryland, licensed in District Of Columbia (HHA200005765) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1841154010
Entity TypeIndividualMale
Primary Taxonomy374U00000X
Provider Legal NameDIVINE MOFOR FOMINKA
Location Address908 LAKE FRONT DRBowie, MD 20721-2950
Mailing Address908 Lake Front DrBowie, MD 20721-2950 · (719) 725-9850
Sole ProprietorYes
Enumeration DateDecember 12, 2025
NPPES CertifiedDecember 12, 2025
NPI 1841154010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
License Licensed in DC · HHA200005765
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.
908 LAKE FRONT DR, Bowie, MD 20721

Other Providers at the Same Location NPPES 3

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

Home Health Aide
908 LAKE FRONT DR
BOWIE, MD 20721
Home Health Aide
908 LAKE FRONT DR
BOWIE, MD 20721
Registered Nurse
908 LAKE FRONT DR
BOWIE, MD 20721

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 Fominka's NPI number?

The NPI number for Divine Fominka is 1841154010. It was assigned to this individual provider in the NPPES registry on December 12, 2025.

Where is Divine Fominka located?

Divine Fominka practices at 908 Lake Front Dr, Bowie, MD 20721. The listed phone number is (719) 725-9850.

What is Divine Fominka'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 Divine Fominka was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.