Organization Active NPI

Mbi

  • Home Health Agency
  • Mount Rainier, MD
National Provider Identifier
1619336716
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA11745 Issued in WA
Legal business name
MBI
Practice address
4609 30TH St
4609
Mount Rainier, MD 20712-1316
Phone
(240) 898-8768
NPI assigned
Feb 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
Miss Ruth Ebangha Tambe I
Title
Home Health Aid
Phone
(240) 898-8768

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA11745 WA Primary

Addresses

Primary practice location

4609 30TH St
4609
Mount Rainier, MD 20712-1316

Mailing address

4609 30TH Street
4609
Mount Rainier, MD 20712
Phone (240) 898-8768

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1619336716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4609 30TH STREET",
            "address_2": "4609",
            "city": "MOUNT RAINIER",
            "state": "MD",
            "postal_code": "20712",
            "telephone_number": "240-898-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4609 30TH ST",
            "address_2": "4609",
            "city": "MOUNT RAINIER",
            "state": "MD",
            "postal_code": "207121316",
            "telephone_number": "240-898-8768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBI",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "TAMBE",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "EBANGHA",
        "authorized_official_title_or_position": "HOME HEALTH AID",
        "authorized_official_telephone_number": "240-898-8768",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": "HHA11745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Rainier, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.