Active NPI
Beatrice Esung Mbongwe
- Home Health Aide
- Cheverly, MD
National Provider Identifier
1417218454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- M-152-085-235-883
- Practice address
- 6411 Landover Rd
Apt#202
Cheverly, MD 20785-1407 - Phone
- (240) 604-0049
- NPI assigned
- Jun 6, 2012
- Last updated
- Jun 6, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | M-152-085-235-883 | MD | Primary |
Addresses
Primary practice location
6411 Landover Rd
Apt#202
Cheverly, MD 20785-1407
Mailing address
6411 Landover Rd
Apt#202
Cheverly, MD 20785
Phone (240) 604-0049
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
| License | State | Type | Specialty |
|---|---|---|---|
| M-152-085-235-883 | MD | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338940800000",
"number": "1417218454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6411 LANDOVER RD",
"address_2": "APT#202",
"city": "CHEVERLY",
"state": "MD",
"postal_code": "20785",
"telephone_number": "240-604-0049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6411 LANDOVER RD",
"address_2": "APT#202",
"city": "CHEVERLY",
"state": "MD",
"postal_code": "207851407",
"telephone_number": "240-604-0049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MBONGWE",
"first_name": "BEATRICE",
"middle_name": "ESUNG",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-06",
"last_updated": "2012-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "MD",
"license": "M-152-085-235-883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheverly, MD
- Maryland Treatment Centers, Inc (Mountain Manor- Safe Passages)
- Maryland Treatment Centers, Inc. (Safe Passages)
- James Maseno, HOME HEALTH AIDE
- Venkata Vinod Kumar Matli, M.D.,
- Therese Mbabit Azoh
- Adamu Mbunwe Roland
- Yvonne Mbuh Mbuuh
- Carol Patricia McLean, NURSE PRACTITIONER
- McLean's Healthcare LLC
- Medical Faculty Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.