Organization Active NPI

Mbi

  • Physical Disabilities Residential Treatment Facility
  • Washington, DC
National Provider Identifier
1750796876
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
HHA9059 Issued in DC
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
MBIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.