Mbacheck Elvis IX

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

9003 Brightlea CT
Lanham, MD 20706

Phone

(240) 467-7341

NPI assigned

Apr 4, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Mbacheck Elvis IX Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1093178253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9003 BRIGHTLEA CT",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207062844",
            "telephone_number": "240-467-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9003 BRIGHTLEA CT",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "20706",
            "telephone_number": "240-467-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELVIS",
        "first_name": "MBACHECK",
        "name_prefix": "Mr.",
        "name_suffix": "IX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MBACHECK",
            "last_name": "ELVIS",
            "prefix": "MR.",
            "suffix": "IX",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Eugene Jamot Elokan Eyango
• Elv Service
• Elv Service
• Elv Service LLC
• Fonyuy Bime Elvis
• Grace Owole Emaikwu
• Charlotteelad Emambot Epse Nkafu
• Nkematabong Glory Emecha
• Renebel Emefuet
• Emerge Integrative Wellness

• Home Health Aide in Lanham, MD
• Providers in Lanham, MD by specialty
• Home Health Aide in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; 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.