Individual provider Active NPI

Seraphine Forchaleke Mbenwoh

  • Home Health Aide
  • New Carrollton, MD
National Provider Identifier
1992202212
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HHA13582 Issued in DC
Practice address
7737 Riverdale Rd Apt 304
New Carrollton, MD 20784-3904
Phone
(240) 467-7399
NPI assigned
Apr 12, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 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 HHA13582 DC Primary

Addresses

Primary practice location

7737 Riverdale Rd Apt 304
New Carrollton, MD 20784-3904

Mailing address

7737 Riverdale Rd Apt 304
New Carrollton, MD 20784-3904
Phone (240) 467-7399

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
HHA13582DCMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525910400000",
    "number": "1992202212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7737 RIVERDALE RD APT 304",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843904",
            "telephone_number": "240-467-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7737 RIVERDALE RD APT 304",
            "city": "NEW CARROLLTON",
            "state": "MD",
            "postal_code": "207843904",
            "telephone_number": "240-467-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBENWOH",
        "first_name": "SERAPHINE",
        "middle_name": "FORCHALEKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA13582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Carrollton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.