Active NPI
Elvis Tinong Mbah
- Personal Care Attendant
- Hyattsville, MD
National Provider Identifier
1043827793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 3504 Hubbard Rd Apt 204
Hyattsville, MD 20785-2068 - Phone
- (540) 628-5727
- NPI assigned
- Sep 28, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
3504 Hubbard Rd Apt 204
Hyattsville, MD 20785-2068
Mailing address
3504 Hubbard Rd Apt 204
Hyattsville, MD 20785-2068
Phone (540) 628-5727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601337600000",
"number": "1043827793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3504 HUBBARD RD APT 204",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207852068",
"telephone_number": "540-628-5727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3504 HUBBARD RD APT 204",
"city": "HYATTSVILLE",
"state": "MD",
"postal_code": "207852068",
"telephone_number": "540-628-5727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MBAH",
"first_name": "ELVIS",
"middle_name": "TINONG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-28",
"last_updated": "2020-09-29",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hyattsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.