Maureen C Mbamalu, RN

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HC4025 Issued in NC

Practice address

1 Buffalo Ave NW
Concord, NC 28025-4417

Phone

(704) 965-4946

NPI assigned

Feb 23, 2010

Last updated

Feb 23, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Azora Healthcare Services

  • Home Health Agency
  • Concord, NC
  • NPI 1558680041
  Authorized official Same address or phone

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266883200000",
    "number": "1982926630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BUFFALO AVE NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254417",
            "telephone_number": "704-965-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BUFFALO AVE NW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280254417",
            "telephone_number": "704-965-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBAMALU",
        "first_name": "MAUREEN",
        "middle_name": "C",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-23",
        "last_updated": "2010-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NC",
            "license": "HC4025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271232453",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawnelle Mayers
• Kelli B Mayfield, MD
• Lauren Nicole Mayhone, DFNP-C
• Shanika Mayweather, RN,BSN
• Awnah Maria Mazyck
• MBK Services LLC
• Stewart C. McAnally, LCSW
• Molly Kay McCabe
• Leah Marie McCain, NP
• Stephanie Marlowe McCain, CRNA

• Home Health Aide in Concord, NC
• Providers in Concord, NC by specialty
• Home Health Aide in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; 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.