Individual provider Active NPI

Claudine Asaah Mambo

  • Home Health Aide
  • Brandywine, MD
National Provider Identifier
1184426090
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA200004268 Issued in DC
Practice address
7101 Desert Peace CT
Brandywine, MD 20613-8001
Phone
(202) 725-5155
NPI assigned
Mar 24, 2025
Last updated
Apr 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 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 HHA200004268 DC Primary

Addresses

Primary practice location

7101 Desert Peace CT
Brandywine, MD 20613-8001

Mailing address

7101 Desert Peace CT
Brandywine, MD 20613-8001
Phone (202) 725-5155

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
HHA200004268DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1184426090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 DESERT PEACE CT",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206138001",
            "telephone_number": "202-725-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 DESERT PEACE CT",
            "city": "BRANDYWINE",
            "state": "MD",
            "postal_code": "206138001",
            "telephone_number": "202-725-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMBO",
        "first_name": "CLAUDINE",
        "middle_name": "ASAAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA200004268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandywine, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.