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

Ifa Ambomu

Individual provider Home Health Aide · NPI 1164786505

Ifa Ambomu is a Home Health Aide in College Park, Maryland. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
2

Practice location Address checks out

4920 Niagara Rd
College Park, MD 20740-1110
Phone: (301) 982-6477
Fax: (301) 982-6488
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Home Health Aide Taxonomy 374U00000X

Record details

NPI number1164786505
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 29, 2012
Last updated in NPPESJune 13, 2023
Certification dateJune 13, 2023
Mailing address4920 Niagara Rd, College Park, MD 20740-1110

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