Mboka Community Services, LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

MBOKA COMMUNITY SERVICES, LLC

Practice address

133 Evergreen Rd Ste 107
Louisville, KY 40243-1478

Phone

(502) 671-9908

NPI assigned

Aug 17, 2026

Organization subpart

No

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

Authorized official

Name

Elizabeth Bass

Title

Ed

Phone

(502) 671-9908

Specialties & licenses 1

Addresses

Tax ID family

Mboka Community Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mboka Community Services, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Louisville, KY
  • NPI 1104603836
  NPD tax ID

Locations

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787184000000",
    "number": "1194630764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 EVERGREEN RD STE 107",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431478",
            "telephone_number": "502-671-9908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 EVERGREEN RD STE 107",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402431478",
            "telephone_number": "502-671-9908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBOKA COMMUNITY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "ED",
        "authorized_official_telephone_number": "502-671-9908"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Lee Mazzoni, RPH
• MB Investors (Caterra Health Systems)
• MB Investors Dba Caterra Health Systems
• Okey Patrick Mbadike, PHARNCIST
• Mboka Community Services, LLC
• Brooke McAfee, NP
• Debra Lou McAfee, LPN
• Jeffery L. McAfee, MD
• Katie Ryan McAfee, LBA
• Salle Beth McAfee, CRNA

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Louisville, KY
• Providers in Louisville, KY by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.