Boniface Mbaka

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

023742 Issued in TX

Practice address

12634 Nacogdoches Rd
San Antonio, TX 78217-2118

Phone

(713) 505-6686

NPI assigned

Jan 6, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alpha Care Services LLC

  • Home Health Agency
  • San Antonio, TX
  • NPI 1568278513
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1003625955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12634 NACOGDOCHES RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782172118",
            "telephone_number": "713-505-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12634 NACOGDOCHES RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782172118",
            "telephone_number": "713-505-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBAKA",
        "first_name": "BONIFACE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "TX",
            "license": "023742",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "023742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daanish Kamal Mazz, PHARMD
• Brianna Mazzaccaro, IOM
• Carl V Mazzocco, DMD
• Debbie Mireles Mazzuca
• Kelsey Elise Mbajika
• Ime Mbang, LVN
• MBG Management Group LLC
• MBKS LLC
• Martin Njume Mboe, RN
• Pauline Njoki Mbogo

• Home Health Registered Nurse in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Home Health Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.