MR. SAMGELLA EDWARD BANISOBA SR.
NPI 1386452803
Case Manager/Care Coordinator in Bowie, MD

Active since December 30, 2024
4512 DOCTOR BEANS LEGACY CIR, BOWIE, MD 20720(240) 267-3748 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Samgella Edward Banisoba Sr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SAMGELLA EDWARD BANISOBA SR. (NPI 1386452803) is an individual case manager/care coordinator provider in Bowie, Maryland and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1386452803
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameMR. SAMGELLA EDWARD BANISOBA SR.
Location Address4512 DOCTOR BEANS LEGACY CIRBowie, MD 20720-6384
Mailing Address1771 Elton Rd # 1771Silver Spring, MD 20903-1757 · (240) 267-3748
Sole ProprietorYes
Enumeration DateDecember 30, 2024
NPPES CertifiedDecember 30, 2024
NPI 1386452803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
4512 DOCTOR BEANS LEGACY CIR, Bowie, MD 20720

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
4512 DOCTOR BEANS LEGACY CIR
BOWIE, MD 20720
Clinic/Center (Primary Care)
4512 DOCTOR BEANS LEGACY CIR
BOWIE, MD 20720
Case Management
4512 DOCTOR BEANS LEGACY CIR
BOWIE, MD 20720

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 Samgella Edward Banisoba's NPI number?

The NPI number for Samgella Edward Banisoba is 1386452803. It was assigned to this individual provider in the NPPES registry on December 30, 2024.

Where is Samgella Edward Banisoba located?

Samgella Edward Banisoba practices at 4512 Doctor Beans Legacy Cir, Bowie, MD 20720. The listed phone number is (240) 267-3748.

What is Samgella Edward Banisoba's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Samgella Edward Banisoba was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.