MBC LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MBC LLC

Practice address

2644 W Half Moon Cir
Queen Creek, AZ 85142-6640

Phone

(301) 755-4406

NPI assigned

May 8, 2019

Organization subpart

No

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

Authorized official

Name

Paul Mbah Mungoh

Title

Ceo

Phone

(301) 755-4406

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1699330258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2644 W HALF MOON CIR",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426640",
            "telephone_number": "301-755-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2644 W HALF MOON CIR",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426640",
            "telephone_number": "301-755-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "MUNGOH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "MBAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-755-4406"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "mbcpaul2019@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "address_1": "2644 W Half Moon Cir",
            "city": "Queen Creek",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "851426640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community/Behavioral Health Agency in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.