Individual provider Active NPI

Solomon Tinong Mbah

  • Home Health Aide
  • Laurel, MD
National Provider Identifier
1396000675
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
9517 Muirkirk Rd Apt 203
Laurel, MD 20708-2767
Phone
(240) 988-8940
NPI assigned
Jul 11, 2012
Last updated
Jul 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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 Primary

Addresses

Primary practice location

9517 Muirkirk Rd Apt 203
Laurel, MD 20708-2767

Mailing address

9517 Muirkirk Rd Apt 203
Laurel, MD 20708-2767
Phone (240) 988-8940

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

NPI Registry JSON

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

{
    "created_epoch": "1341964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1396000675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9517 MUIRKIRK RD APT 203",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082767",
            "telephone_number": "240-988-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9517 MUIRKIRK RD APT 203",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082767",
            "telephone_number": "240-988-8940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBAH",
        "first_name": "SOLOMON",
        "middle_name": "TINONG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-11",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.