Mamba Mentality LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

MAMBA MENTALITY LLC

Practice address

149 Carden PL Apt H
Mebane, NC 27302-6075

Phone

(919) 450-7048

NPI assigned

Aug 23, 2022

Last updated

Aug 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mae Frances Rosa Bing

Title

Administrator

Phone

(919) 450-7048

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Qumane McClary

  • Driver
  • Mebane, NC
  • NPI 1750018420
  NPD

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1467171652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 CARDEN PL APT H",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273026075",
            "telephone_number": "919-450-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 CARDEN PL APT H",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273026075",
            "telephone_number": "919-450-7048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMBA MENTALITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "BING",
        "authorized_official_first_name": "MAE FRANCES",
        "authorized_official_middle_name": "ROSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "919-450-7048"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NA",
            "affiliation": "Y",
            "affiliationName": "MODIVCARE SOLUTIONS, LLC",
            "address_1": "149 Carden Pl Apt H",
            "city": "Mebane",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273026075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Loving, Caring, Hands
• Antionette Lunsford
• Keri Wolfe Macdonald, BSN,MSN,FNP
• Venus Mahan, LMBT
• Whitney Mallalieu
• Benison Mangel
• Sarah Lynn Marchese, RN
• William F Marterre Jr., M.D.
• Kimberly Massey
• Matteo Chiropractic PLLC

• Non-emergency Medical Transport (VAN) in Mebane, NC
• Providers in Mebane, NC by specialty
• Non-emergency Medical Transport (VAN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.