MBOKA COMMUNITY SERVICES, LLC
NPI 1104603836
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Louisville, KY
About Mboka Community Services, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MBOKA COMMUNITY SERVICES, LLC (NPI 1104603836) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Louisville, Kentucky and active in the NPI registry since September 2023. The organization lists Elizabeth Bass, Co-owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mboka Community Services, LLC's NPI number?
The NPI number for Mboka Community Services, LLC is 1104603836. It was assigned to this organization in the NPPES registry on September 14, 2023.
Where is Mboka Community Services, LLC located?
Mboka Community Services, LLC is located at 3514 Ramona Ave, Louisville, KY 40220. The listed phone number is (502) 671-9908.
What is Mboka Community Services, LLC's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
When was this NPI record last updated?
The NPPES record for Mboka Community Services, LLC was last updated on September 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mboka Community Services, Llc · NPI 1104603836
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities organization in Louisville, Kentucky. Organization record, active in the CMS NPPES registry since September 14, 2023.
## Identity
- **NPI:** 1104603836 (Entity type: Organization)
- **Enumerated:** September 14, 2023
- **Primary specialty:** Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · taxonomy 320900000X
- **Organization subpart:** No
- **Authorized official:** Elizabeth Bass, CO-OWNER
## Practice location
- **Address:** 3514 RAMONA AVE, Louisville, KY 40220-2411
- **Phone:** (502) 671-9908
## Record status
- **NPPES last updated:** September 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104603836) · Data from the CMS NPPES public registry.