IndividualActive
Divine Fomulyam
NPI 1629772629 · Personal Care Attendant · Washington, DC
Divine Fomulyam is a Personal Care Attendant provider in Washington, DC (NPI 1629772629).
Provider details
- NPI number
- 1629772629
- Entity type
- Individual
- Primary specialty
- Personal Care AttendantNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
213 L St Sw
Washington, DC 20024-3607
Phone: (240) 899-4815
Street-level locationGet directions
Mailing address
14912 Doveheart Ln
Bowie, MD 20721-3079
Registry dates
- Enumerated
- 2023-03-27
- Last updated
- 2023-03-27
- Certified
- 2023-03-27
Frequently asked questions
- What is Divine Fomulyam's NPI number?
- Divine Fomulyam's National Provider Identifier (NPI) is 1629772629, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Divine Fomulyam's specialty?
- Divine Fomulyam is listed in the NPPES registry with a primary specialty of Personal Care Attendant (Nursing Service Related Providers).
- Where is Divine Fomulyam located?
- Divine Fomulyam's practice location on file with NPPES is 213 L St Sw, Washington, DC 20024-3607.
- What is Divine Fomulyam's phone number?
- The practice phone number listed in the NPPES registry for Divine Fomulyam is (240) 899-4815.
- Is Divine Fomulyam's NPI active?
- Yes — Divine Fomulyam's NPI (1629772629) is active in the NPPES registry as of the last update on 2023-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.