Individual provider Active NPI

Matthew Ebere Mbadi

  • Home Health Aide
  • Bowie, MD
National Provider Identifier
1609329747
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA12071 Issued in DC
Practice address
2324 Nicol Circle
Bowie, MD 20721
Phone
(301) 532-7450
NPI assigned
Jul 25, 2016
Last updated
Jul 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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 HHA12071 DC Primary

Addresses

Primary practice location

2324 Nicol Circle
Bowie, MD 20721

Mailing address

2324 Nicol Cir
Bowie, MD 20721-2851
Phone (301) 532-7450

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
HHA12071DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1609329747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 NICOL CIR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207212851",
            "telephone_number": "301-532-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 NICOL CIRCLE",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "20721",
            "telephone_number": "301-532-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBADI",
        "first_name": "MATTHEW",
        "middle_name": "EBERE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA12071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.