Mambo Royal Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MAMBO ROYAL CARE LLC

Practice address

5680 King Centre Dr Ste 600
Alexandria, VA 22315-5755

Phone

(240) 413-1407

NPI assigned

Jul 3, 2024

Organization subpart

No

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

Authorized official

Name

Geraldine Ngesah MamboNPI 1962765941

Title

Ceo

Phone

(240) 413-1407

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Geraldine Mambo

  • Home Health Aide
  • Washington, DC
  • NPI 1962765941
  NPD Authorized official

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1033955414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5680 KING CENTRE DR STE 600",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223155755",
            "telephone_number": "240-413-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5680 KING CENTRE DR STE 600",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223155755",
            "telephone_number": "240-413-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMBO ROYAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "MAMBO",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_middle_name": "NGESAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-413-1407"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niklas Malmstrom
• Angela Michelle Malo
• Molly Maloney
• Evgeny Malts
• Alison D. Maltz, MA., CCC-SLP
• Aytan Mammadova, M.D
• Sebele T Mamo
• Kelley M Manahan, NP
• Anteneh Manahle, PHARM.D
• Karina Mira Manalastas, LPC-R, ATR-P

• In Home Supportive Care Agency in Alexandria, VA
• Providers in Alexandria, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.