Individual provider Active NPI

Rosaline Mbiaga

  • Home Health Aide
  • Takoma Park, MD
National Provider Identifier
1952890253
Registry record updated May 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA13577 Issued in DC
Practice address
6733 New Hampshire Ave Apt 912
Takoma Park, MD 20912-2856
Phone
(240) 505-3714
NPI assigned
May 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2018

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 HHA13577 DC Primary

Addresses

Primary practice location

6733 New Hampshire Ave Apt 912
Takoma Park, MD 20912-2856

Mailing address

6733 New Hampshire Ave Apt 912
Takoma Park, MD 20912-2856
Phone (240) 505-3714

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
HHA13577DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1952890253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6733 NEW HAMPSHIRE AVE APT 912",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209122856",
            "telephone_number": "240-505-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6733 NEW HAMPSHIRE AVE APT 912",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209122856",
            "telephone_number": "240-505-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBIAGA",
        "first_name": "ROSALINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA13577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; 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.