Individual provider Active NPI

Mbanwie Rudolf Teche

  • Home Health Aide
  • Washington, DC
National Provider Identifier
1457835217
Registry record updated Sep 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA13992 Issued in DC
Practice address
1220 12TH St SE Ste G35
Washington, DC 20003-3738
Phone
(202) 544-8090
Fax
(202) 544-8091
NPI assigned
Sep 18, 2018
Last updated
Sep 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2018

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 HHA13992 DC Primary

Addresses

Primary practice location

1220 12TH St SE Ste G35
Washington, DC 20003-3738

Mailing address

5513 Farragut St
Hyattsville, MD 20781-2719
Phone (410) 533-4068

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
HHA13992DCMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Home Healthcare Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1457835217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5513 FARRAGUT ST",
            "city": "HYATTSVILLE",
            "state": "MD",
            "postal_code": "207812719",
            "telephone_number": "410-533-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 12TH ST SE STE G35",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033738",
            "telephone_number": "202-544-8090",
            "fax_number": "202-544-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TECHE",
        "first_name": "MBANWIE",
        "middle_name": "RUDOLF",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA13992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.