Mbeng Ndemaze Taku, HOMEHEALTH AIDE

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

711 W Wenger Rd Apt 177
Apt 177
Englewood, OH 45322-1917

Phone

(937) 931-3566

NPI assigned

Apr 23, 2013

Last updated

Feb 11, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486771200000",
    "number": "1184068900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W WENGER RD APT 177",
            "address_2": "APT 177",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453221917",
            "telephone_number": "937-931-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 W WENGER RD APT 177",
            "address_2": "APT 177",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453221917",
            "telephone_number": "937-931-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKU",
        "first_name": "MBENG",
        "middle_name": "NDEMAZE",
        "credential": "HOMEHEALTH AIDE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-23",
        "last_updated": "2017-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Sutton
• Cynthia N Swafford, LISW
• Susan Judith Sweigart, MS LPCC
• Blake Szelestey, MD
• T&T Home Health Care LLC
• Edward D Taylor
• Shanin L Taylor
• Albert A Teague, DC
• Tecs Ohio Inc
• Daniell Yvette Tellis

• Home Health Aide in Englewood, OH
• Providers in Englewood, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2017; 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.