Active NPI
Emmanuel Mbang
- In Home Supportive Care Agency
- Baker, LA
National Provider Identifier
1114153095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 15138
- Practice address
- 3402 Baker Blvd # a-3
Baker, LA 70714-2509 - Phone
- (225) 774-7476
- NPI assigned
- Jun 4, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 15138 | Primary |
Addresses
Primary practice location
3402 Baker Blvd # a-3
Baker, LA 70714-2509
Mailing address
3402 Baker Blvd # a-3
Baker, LA 70714-2509
Phone (225) 774-7476
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1656968 | Medicaid | LA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpha Medical Solutions Home Care, Inc | In Home Supportive Care | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- In Home Supportive Care Agency
- Baker, LA
- NPI 1053580183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246406400000",
"number": "1114153095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3402 BAKER BLVD # A-3",
"city": "BAKER",
"state": "LA",
"postal_code": "707142509",
"telephone_number": "225-774-7476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3402 BAKER BLVD # A-3",
"city": "BAKER",
"state": "LA",
"postal_code": "707142509",
"telephone_number": "225-774-7476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MBANG",
"first_name": "EMMANUEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-04",
"last_updated": "2009-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": "15138",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1656968",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baker, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.