Active NPI
Emannuel Taboko
- Home Health Agency
- Bowie, MD
National Provider Identifier
1821872086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HHMHA200003003
- Practice address
- 16415 Governor Bridge Rd
Bowie, MD 20716-3730 - Phone
- (240) 086-0308
- NPI assigned
- Aug 21, 2023
- 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 | HHMHA200003003 | DC | Primary |
Addresses
Primary practice location
16415 Governor Bridge Rd
Bowie, MD 20716-3730
Mailing address
5417 Lakeford LN
Bowie, MD 20720-4855
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HHMHA200003003 | DC | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1821872086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5417 LAKEFORD LN",
"city": "BOWIE",
"state": "MD",
"postal_code": "207204855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16415 GOVERNOR BRIDGE RD",
"city": "BOWIE",
"state": "MD",
"postal_code": "207163730",
"telephone_number": "240-086-0308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABOKO",
"first_name": "EMANNUEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-21",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "DC",
"license": "HHMHA200003003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.