MR. EFIONG E. MBABA (NPI# 1477763654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477763654 |
| Entity Type | Individual |
| Full Name | MR. EFIONG E. MBABA |
| Credential | REGISTERED NURSE |
| Practice Address |
804 Commerce Blvd Suite A-32 Riverdale GA 30296-3321 |
| Practice Telephone | 7709070194 |
| Practice Fax Number | 7709070195 |
| Mailing Telephone | 7709070194 |
| Mailing Fax Number | 7709070195 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2008-04-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 06-19916 | GA | Suppliers |
| Street Address |
804 COMMERCE BLVD SUITE A-32 |
| City | RIVERDALE |
| State | GA |
| Zip Code | 30296-3321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588879803 | Willie Roy Cameron | Counselor | 804 Commerce Blvd, Ste-a12-14, Riverdale, GA 30296-7198 | 2007-05-11 |
| 1740583194 | Southside Internal Medicine PC | Clinic/Center | 804 Commerce Blvd, Suite B, Riverdale, GA 30296-7198 | 2010-12-07 |
| 1790959187 | Maxicare Medical Supply | Durable Medical Equipment & Medical Supplies | 804 Commerce Blvd, Suite A-32, Riverdale, GA 30296-7198 | 2008-04-16 |
| 1417134636 | L.t. Exams, Inc | Clinical Medical Laboratory | 804 Commerce Blvd, Ste D, Riverdale, GA 30296-7198 | 2008-01-30 |
| 1730361775 | House of Inspiration Group Home, Inc | Community/Behavioral Health | 804 Commerce Blvd, Suite A2, Riverdale, GA 30296-7198 | 2007-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558594 | James D Hickman | Home Health Aide | 2252 Addison Park, Riverdale, GA 30296 | 2020-11-04 |
| 1255973251 | Octavia Bostic | Nurse's Aide | 7670 Creekside Lane, Riverdale, GA 30296 | 2019-10-10 |
| 1548746829 | Verna Stoner-frazier | Physical Therapist | 1542 Bethaven Rd, Riverdale, GA 30296 | 2018-07-19 |
| 1346762705 | Letty Searcy | Case Manager/Care Coordinator | 7125 E. Village Ct, Riverdale, GA 30296 | 2017-07-07 |
| 1225402639 | Optima Physical Therapy Services | Clinic/Center | 808 Commerce Boulevard, Riverdale, GA 30296 | 2015-11-23 |
| 1437409224 | Mobile Nursing Service LLC | Nursing Care | 829 Scott Rd, Riverdale, GA 30296 | 2012-09-19 |
| 1104069517 | Taina S. Holly | Licensed Practical Nurse | 1234 Elgin Way, Riverdale, GA 30296 | 2009-04-15 |
| 1386720118 | Absolute Healthcare & Rehab Center | Chiropractor | 1807 Hwy 138 Sw, Riverdale, GA 30296 | 2006-10-27 |
| 1467558650 | Daniel Tesfa Redie | Dentist | 1849 Hwy 138, Riverdale, GA 30296 | 2006-09-15 |
| 1033214184 | Malcolm Hill | Chiropractor | 1296 Hwy 138, Suite 105, Riverdale, GA 30296 | 2006-09-13 |
| Find all providers in zip 30296 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475565 | Tonika Tchampo | Durable Medical Equipment & Medical Supplies | 8050 Taylor Rd Apt 1101, Riverdale, GA 30274-4392 | 2020-10-21 |
| 1427672096 | Wellness Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 6518 Highway 85 Ste G, Riverdale, GA 30274-2364 | 2020-05-29 |
| 1023591856 | Kal Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 4042 Pacific Ave Ste 103, Riverdale, UT 84405-1574 | 2018-09-07 |
| 1346549763 | Lifetime Products | Durable Medical Equipment & Medical Supplies | 5296 Freeway Park Dr, Riverdale, UT 84405-4063 | 2011-03-24 |
| 1942527841 | L&o,llc | Durable Medical Equipment & Medical Supplies | 4701 Somerset Rd, Riverdale, MD 20737-1131 | 2010-05-01 |
| 1649417171 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6665 Highway 85, Riverdale, GA 30274-2346 | 2009-01-21 |
| 1043481260 | Dme Supply Inc | Durable Medical Equipment & Medical Supplies | 1347 Highway 138 Sw # 2, Riverdale, GA 30296-1403 | 2008-03-14 |
| 1700077377 | Providence Pt & Dme | Durable Medical Equipment & Medical Supplies | 5810 Riverdale Rd, Riverdale, MD 20737-2142 | 2007-08-07 |
| 1528134145 | Carefirst Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 6030 Hwy 85, Suite 224, Riverdale, GA 30274 | 2006-11-27 |
| 1740370717 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 48 State Rt 23, Riverdale, NJ 07457-1602 | 2006-10-13 |
| Find all providers in RIVERDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.