Organization Active NPI

Mbango Enterprises LLC

  • Home Health Agency
  • Aurora, CO
National Provider Identifier
1851932628
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MBANGO ENTERPRISES LLC
Practice address
1450 S Havana St Ste 522
Aurora, CO 80012-4030
Phone
(720) 717-9288
NPI assigned
Oct 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Authorized official

Name
Benedicto Mbango
Title
Owner/President
Phone
(720) 717-9288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1450 S Havana St Ste 522
Aurora, CO 80012-4030

Mailing address

14141 E 102ND Ave
Commerce City, CO 80022-9483

National Provider Directory

National Provider Directory

Locations

1450 S Havana St
Ste 522
Aurora, CO 80012
Phone (720) 496-3160

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570060800000",
    "number": "1851932628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14141 E 102ND AVE",
            "city": "COMMERCE CITY",
            "state": "CO",
            "postal_code": "800229483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 S HAVANA ST STE 522",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800124030",
            "telephone_number": "720-717-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBANGO ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A",
        "authorized_official_last_name": "MBANGO",
        "authorized_official_first_name": "BENEDICTO",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "720-717-9288"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

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