MLB Care Health Services, Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MLB CARE HEALTH SERVICES, INC.

Practice address

950 N Washington St # 353
Alexandria, VA 22314-1534

Phone

(202) 316-1259

NPI assigned

Oct 21, 2021

Organization subpart

No

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

Authorized official

Name

Mac Bangoura

Title

Ceo

Phone

(202) 744-8132

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1942963384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N WASHINGTON ST # 353",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N WASHINGTON ST # 353",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223141534",
            "telephone_number": "202-316-1259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLB CARE HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-21",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "BANGOURA",
        "authorized_official_first_name": "MAC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-744-8132"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mac@mlbhealthcare.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "950 N Washington St # 353",
            "city": "Alexandria",
            "state": "VA",
            "country_code": "US",
            "postal_code": "223141534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Travia L Mitchell
• Selma Mitiche
• Kefyalew Mitiku
• Maayan Mizrahi, M.PSY.
• MK Cognition, Inc
• MMP Therapy Solutions LLC
• Allison Hoose Moala, DMD, MPH
• Shahid Mohammad Mobasher
• Modern Psychological Services LLC
• Veeshal Modi, MD

• In Home Supportive Care Agency in Alexandria, VA
• Providers in Alexandria, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.