Individual provider Active NPI

Claudia Nyonka Mbongeh

  • Home Health Aide
  • Lanham, MD
National Provider Identifier
1841852340
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA14541 Issued in DC
Practice address
6713 Terra Alta Dr
Lanham, MD 20706-3747
Phone
(240) 584-2024
NPI assigned
Jul 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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 HHA14541 DC Primary

Addresses

Primary practice location

6713 Terra Alta Dr
Lanham, MD 20706-3747

Mailing address

6713 Terra Alta Dr
Lanham, MD 20706-3747
Phone (240) 584-2024

Other practice location 1

6713 Terra Alta Dr
Lanham, MD 20706-3747
Phone (240) 584-2024

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

LicenseStateTypeSpecialty
HHA14541DCMDHome Health Aide

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1841852340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6713 TERRA ALTA DR",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063747",
            "telephone_number": "240-584-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6713 TERRA ALTA DR",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063747",
            "telephone_number": "240-584-2024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6713 Terra Alta Dr",
            "address_purpose": "LOCATION",
            "city": "Lanham",
            "state": "MD",
            "postal_code": "207063747",
            "country_code": "US",
            "telephone_number": "240-584-2024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MBONGEH",
        "first_name": "CLAUDIA",
        "middle_name": "NYONKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA14541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.