Active NPI
Bruno Ntembe
- Home Health Aide
- Upper Marlboro, MD
National Provider Identifier
1669809935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA9001
- Practice address
- 904 Manor House Dr
Upper Marlboro, MD 20774-9000 - Phone
- (202) 469-9337
- NPI assigned
- Oct 2, 2013
- Last updated
- Oct 2, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | HHA9001 | DC | Primary |
Addresses
Primary practice location
904 Manor House Dr
Upper Marlboro, MD 20774-9000
Mailing address
904 Manor House Dr
Upper Marlboro, MD 20774-9000
Phone (202) 469-9337
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 |
|---|---|---|---|
| HHA9001 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380672000000",
"number": "1669809935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 MANOR HOUSE DR",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207749000",
"telephone_number": "202-469-9337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 MANOR HOUSE DR",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207749000",
"telephone_number": "202-469-9337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NTEMBE",
"first_name": "BRUNO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-02",
"last_updated": "2013-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA9001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.