Active NPI
Patrice Mbah
- Home Health Agency
- Washington, DC
National Provider Identifier
1710220470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 439 Oneida PL NW
Washington, DC 20011-2150 - Phone
- (202) 291-7226
- Fax
- (202) 291-4009
- NPI assigned
- Apr 1, 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 Agency | 251E00000X | Primary |
Addresses
Primary practice location
439 Oneida PL NW
Washington, DC 20011-2150
Mailing address
9727 Mount Pisgah Rd
Apt. # 904
Silver Spring, MD 20903-2019
Phone (240) 640-0909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036061400 | Medicaid | DC |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364774400000",
"number": "1710220470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9727 MOUNT PISGAH RD",
"address_2": "APT. # 904",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209032019",
"telephone_number": "240-640-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "439 ONEIDA PL NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200112150",
"telephone_number": "202-291-7226",
"fax_number": "202-291-4009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MBAH",
"first_name": "PATRICE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-01",
"last_updated": "2013-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036061400",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.