Provider Demographics
NPI:1609609031
Name:MOBUZI HOMECARE LLC
Entity type:Organization
Organization Name:MOBUZI HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHIBUZO
Authorized Official - Middle Name:
Authorized Official - Last Name:ANYAKORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-716-4336
Mailing Address - Street 1:3712 PUTNAM RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-6945
Mailing Address - Country:US
Mailing Address - Phone:240-716-4336
Mailing Address - Fax:
Practice Address - Street 1:3712 PUTNAM RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-6945
Practice Address - Country:US
Practice Address - Phone:240-716-4336
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care