Elizabeth Bonghor Bangura

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

A00165718 Issued in MD

Practice address

1940 Gableridge Turn
Woodbridge, VA 22191-1972

Phone

(703) 899-9642

NPI assigned

Sep 11, 2018

Sex

Female

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

State licenses

Practice roles

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.

• Bethson Homehealth Care Services LLC

  • Home Health Agency
  • Woodbridge, VA
  • NPI 1649753070
  NPD (past) Authorized official

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1356824890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 PS BUSINESS CENTER DR",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924258",
            "telephone_number": "571-552-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 GABLERIDGE TURN",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221911972",
            "telephone_number": "703-899-9642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3108 Ps Business Center Dr",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221924258",
            "country_code": "US",
            "telephone_number": "414-704-6196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3108 Ps Business Center Dr",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221924258",
            "country_code": "US",
            "telephone_number": "414-704-6196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANGURA",
        "first_name": "ELIZABETH",
        "middle_name": "BONGHOR",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MD",
            "license": "A00165718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Balaji Raghu Inc
• Gerisha Baldwin
• Kathryn Elizabeth Bamberger, PT, DPT
• Maame Gyasiwah Banahene, BSN, RN
• Stephen Michael Bane, M.D.
• Tejan W Bangura
• Barkev H Banian, M.D.
• Sarah Banks
• Shikshya Baral, DO
• Michele Renae Barber, MSW, LCSW

• Home Health Aide in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Home Health Aide in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.