Individual provider Active NPI

Elisabeth Estelle Mbena

  • Home Health Aide
  • Silver Spring, MD
National Provider Identifier
1821678749
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
1808 Greenwich Wood Dr Apt 31
Silver Spring, MD 20903-2113
Phone
(240) 433-2486
NPI assigned
Apr 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

1808 Greenwich Wood Dr Apt 31
Silver Spring, MD 20903-2113

Mailing address

1808 Greenwich Wood Dr Apt 31
Silver Spring, MD 20903-2113
Phone (240) 433-2486

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": "1618272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1821678749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 GREENWICH WOOD DR APT 31",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209032113",
            "telephone_number": "240-433-2486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 GREENWICH WOOD DR APT 31",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209032113",
            "telephone_number": "240-433-2486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBENA",
        "first_name": "ELISABETH",
        "middle_name": "ESTELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-13",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.