Active NPI
Mbi
- Physical Disabilities Residential Treatment Facility
- Washington, DC
National Provider Identifier
1750796876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Disabilities Residential Treatment Facility
- License
- HHA9059
- Legal business name
- MBI
- Practice address
- 115 Missouri Ave NW Apt 4
Washington, DC 20011-5241 - Phone
- (202) 725-9450
- NPI assigned
- Jun 26, 2014
- Organization subpart
- Yes
- Parent organization
- MBI
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andre Wanteu
- Title
- HHA
- Phone
- (202) 725-9450
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Disabilities Residential Treatment Facility | 320700000X | HHA9059 | DC | Primary |
Addresses
Primary practice location
115 Missouri Ave NW Apt 4
Washington, DC 20011-5241
Mailing address
115 Missouri Ave NW Apt 4
Washington, DC 20011-5241
Phone (202) 725-9450
National Provider Directory
National Provider Directory- Part of
- Mbi
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403740800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403740800000",
"number": "1750796876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 MISSOURI AVE NW APT 4",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200115241",
"telephone_number": "202-725-9450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 MISSOURI AVE NW APT 4",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200115241",
"telephone_number": "202-725-9450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MBI",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MBI",
"enumeration_date": "2014-06-26",
"last_updated": "2014-06-26",
"status": "A",
"authorized_official_last_name": "WANTEU",
"authorized_official_first_name": "ANDRE",
"authorized_official_title_or_position": "HHA",
"authorized_official_telephone_number": "202-725-9450"
},
"taxonomies": [
{
"code": "320700000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Physical Disabilities",
"state": "DC",
"license": "HHA9059",
"primary": true
}
],
"identifiers": [],
"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 Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.