IndividualActive
Wilson Chick Fanso Fomukom
NPI 1912719717 · Home Health Aide · Bowie, MD
Wilson Chick Fanso Fomukom is a Home Health Aide provider in Bowie, MD (NPI 1912719717).
Provider details
- NPI number
- 1912719717
- Entity type
- Individual
- Primary specialty
- Home Health AideNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Basic profile(49/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
6421 Gwinnett Ln
Bowie, MD 20720-5320
Phone: (202) 604-4262
Street-level locationGet directions
Mailing address
6421 Gwinnett Ln
Bowie, MD 20720-5320
Registry dates
- Enumerated
- 2025-01-21
- Last updated
- 2025-01-21
- Certified
- 2025-01-21
Frequently asked questions
- What is Wilson Chick Fanso Fomukom's NPI number?
- Wilson Chick Fanso Fomukom's National Provider Identifier (NPI) is 1912719717, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Wilson Chick Fanso Fomukom's specialty?
- Wilson Chick Fanso Fomukom is listed in the NPPES registry with a primary specialty of Home Health Aide (Nursing Service Related Providers).
- Where is Wilson Chick Fanso Fomukom located?
- Wilson Chick Fanso Fomukom's practice location on file with NPPES is 6421 Gwinnett Ln, Bowie, MD 20720-5320.
- What is Wilson Chick Fanso Fomukom's phone number?
- The practice phone number listed in the NPPES registry for Wilson Chick Fanso Fomukom is (202) 604-4262.
- Is Wilson Chick Fanso Fomukom's NPI active?
- Yes — Wilson Chick Fanso Fomukom's NPI (1912719717) is active in the NPPES registry as of the last update on 2025-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.