Independent Provider

LBN: Elvis Mbah
Independent Provider is an health care organization with primary practice located at 3265 Rocker Dr Apt 4 , Cincinnati OH 45239-4154. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Elvis Mbah can be contacted via phone (513) 693-3593, or through Mbah, Elvis N via phone (513) 693-3593.

Contact Information

Primary practice address
3265 Rocker Dr Apt 4 Cincinnati OH 45239-4154
Phone: (513) 693-3593
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mbah, Elvis N STNA
Phone: (513) 693-3593

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X Ohio

Profile Details

NPI number 1598138364
LBN Legal business name Elvis Mbah
DBA Doing business as Independent Provider
Authorized official Mbah, Elvis N STNA
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2015
Last updated Nov 2nd, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598138364 NPPES
Ohio MEDICAID 0121325

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