Active NPI
Maxwell Mbah
- Nursing Home Administrator
- Brooklyn, MD
National Provider Identifier
1497318182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Home Administrator
- Practice address
- 731 Sunnyfield LN
Brooklyn, MD 21225-3364 - Phone
- (954) 309-4017
- Fax
- (410) 636-6029
- NPI assigned
- Apr 17, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LP51025 | MD | |
| Nursing Home Administrator | 376G00000X | Primary |
Addresses
Primary practice location
731 Sunnyfield LN
Brooklyn, MD 21225-3364
Mailing address
731 Sunnyfield LN
Brooklyn, MD 21225-3364
Phone (954) 309-4017
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 |
|---|---|---|---|
| LP51025 | MD | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neya Better Life Home Health Care Services, Inc. | Current | 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 and National Provider Directory roles.
-
- Nursing Care Agency
- Brooklyn, MD
- NPI 1366839078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1497318182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 SUNNYFIELD LN",
"city": "BROOKLYN",
"state": "MD",
"postal_code": "212253364",
"telephone_number": "954-309-4017",
"fax_number": "410-636-6029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "731 SUNNYFIELD LN",
"city": "BROOKLYN",
"state": "MD",
"postal_code": "212253364",
"telephone_number": "954-309-4017",
"fax_number": "410-636-6029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MBAH",
"first_name": "MAXWELL",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-17",
"last_updated": "2021-04-06",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "MD",
"license": "LP51025",
"primary": false
},
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.