1. Home
  2. Directory
  3. District Of Columbia
  4. Washington
  5. Nurse Practitioner
  6. NPI Profile

RB ANGELS HAVEN HEALTH CENTER PLLC
NPI 1669318564
Nurse Practitioner - Gerontology in Washington, DC

Active since April 24, 2026
2603 HAMLIN ST NE, WASHINGTON, DC 20018(202) 730-6559(202) 574-1918 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 19, 2026, Apr 24, 2026 (2 updates tracked since 2026).

About Rb Angels Haven Health Center Pllc NPPES

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

RB ANGELS HAVEN HEALTH CENTER PLLC (NPI 1669318564) is a healthcare organization registered as a gerontology in Washington, District Of Columbia and active in the NPI registry since April 2026. The organization lists Mary Tessie Thullah Bangura, Dnp, as its authorized official.

NPPES Registry Identity

NPI1669318564
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameRB ANGELS HAVEN HEALTH CENTER PLLC
Location Address2603 HAMLIN ST NEWashington, DC 20018-2530
Mailing Address2603 Hamlin St NeWashington, DC 20018-2530 · (202) 730-6559 · Fax (202) 574-1918
Phone(202) 730-6559
Fax(202) 574-1918
Organization SubpartNo
Authorized OfficialMary Tessie Thullah BanguraDnp · (202) 730-6559
Enumeration DateApril 24, 2026
Last NPPES UpdateAugust 19, 20262 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
✔ NPI 1669318564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
2603 HAMLIN ST NE, Washington, DC 20018
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rb Angels Haven Health Center Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rb Angels Haven Health Center PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mary Thullah Bangura, DNP-PMHNP
Nurse Practitioner
NPI 1740956531
2603 HAMLIN ST NE
Washington, DC 20018
(202) 730-6559
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Rb Angels Haven Health Center PLLC's NPI number?

The NPI number for Rb Angels Haven Health Center PLLC is 1669318564. It was assigned to this organization in the NPPES registry on April 24, 2026.

Where is Rb Angels Haven Health Center PLLC located?

Rb Angels Haven Health Center PLLC is located at 2603 Hamlin St NE, Washington, DC 20018. The listed phone number is (202) 730-6559.

What is Rb Angels Haven Health Center PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Rb Angels Haven Health Center PLLC enrolled in Medicare?

Yes. Rb Angels Haven Health Center PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rb Angels Haven Health Center PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Rb Angels Haven Health Center PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Rb Angels Haven Health Center PLLC was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.