Individual provider Active NPI

Annabella Mbah

  • Home Health Aide
  • New Carrollton, MD
National Provider Identifier
1104430628
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA15431 Issued in DC
Practice address
8623 Annapolis Rd
New Carrollton, MD 20784-3106
Phone
(202) 910-9134
NPI assigned
Sep 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HHA15431 DC Primary

Addresses

Primary practice location

8623 Annapolis Rd
New Carrollton, MD 20784-3106

Mailing address

8623 Annapolis Rd
New Carrollton, MD 20784-3106
Phone (202) 910-9134

Other identifiers 1

IdentifierTypeStateIssuer
082358387MedicaidDC

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL abahomehealt.com Direct

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

State licenses

LicenseStateTypeSpecialty
HHA15431DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1104430628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8623 ANNAPOLIS RD",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843106",
            "telephone_number": "202-910-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8623 ANNAPOLIS RD",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843106",
            "telephone_number": "202-910-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBAH",
        "first_name": "ANNABELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA15431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082358387",
            "state": "DC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "abahomehealt.com",
            "affiliation": "N",
            "endpointDescription": "abahomehealth.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "8623 Annapolis Rd",
            "city": "New Carrollton",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207843106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Carrollton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.