Individual provider Active NPI

Taniform Edwine Mangwa, HHA

  • Home Health Aide
  • Laurel, MD
National Provider Identifier
1477829620
Registry record updated Mar 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
8301 Sweet Brenda CT
Laurel, MD 20707-4924
Phone
(202) 545-0935
NPI assigned
Mar 31, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 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

8301 Sweet Brenda CT
Laurel, MD 20707-4924

Mailing address

8301 Sweet Brenda CT
Laurel, MD 20707-4924

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": "1333152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333152000000",
    "number": "1477829620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 SWEET BRENDA CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 SWEET BRENDA CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074924",
            "telephone_number": "202-545-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGWA",
        "first_name": "TANIFORM",
        "middle_name": "EDWINE",
        "credential": "HHA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-31",
        "last_updated": "2012-03-31",
        "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 Mar 31, 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.