Individual provider Active NPI

Emmanuel Nsoh Mbah I, HHA

  • Home Health Agency
  • Adelphi, MD
National Provider Identifier
1861943904
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HHA12449 Issued in DC
Practice address
1830 Metzerott Rd Apt 402
Adelphi, MD 20783
Phone
(301) 300-4106
NPI assigned
Oct 24, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HHA12449 DC Primary

Addresses

Primary practice location

1830 Metzerott Rd Apt 402
Adelphi, MD 20783

Mailing address

1830 Metzerott Rd Apt 402
Adelphi, MD 20783-3485
Phone (301) 300-4106

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
HHA12449DCMDHome Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1861943904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 METZEROTT RD APT 402",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "207833485",
            "telephone_number": "301-300-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 METZEROTT RD APT 402",
            "city": "ADELPHI",
            "state": "MD",
            "postal_code": "20783",
            "telephone_number": "301-300-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBAH",
        "first_name": "EMMANUEL",
        "middle_name": "NSOH",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "HHA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "DC",
            "license": "HHA12449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adelphi, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.