Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Divine Mofor Fominka

Individual provider Home Health Aide · NPI 1841154010

Divine Mofor Fominka is a Home Health Aide in Bowie, Maryland. Practices as a sole proprietor. Licensed in District of Columbia.

Licensed in
DC
In the registry since
2025
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Practice location Address checks out

908 Lk Frnt DR
Bowie, MD 20721-2950
Phone: (719) 725-9850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Aide (primary) Taxonomy 374U00000X · Licence HHA200005765 (DC)

Record details

NPI number1841154010
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 12, 2025
Last updated in NPPESDecember 12, 2025
Certification dateDecember 12, 2025

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