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MAXICARE MEDICAL SUPPLY
NPI 1790959187
Durable Medical Equipment & Medical Supplies in Riverdale, GA

Active since April 16, 2008
804 COMMERCE BLVD, SUITE A-32, RIVERDALE, GA 30296(770) 907-0194(770) 907-0195 Get Directions Write a Review

NPPES record last updated: August 25, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maxicare Medical Supply NPPES

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

MAXICARE MEDICAL SUPPLY (NPI 1790959187) is a healthcare organization registered as a durable medical equipment & medical supplies in Riverdale, Georgia and active in the NPI registry since April 2008. The organization lists Efiong Eyo Mbaba, Owner, as its authorized official.

NPPES Registry Identity

NPI1790959187
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMAXICARE MEDICAL SUPPLY
Location Address804 COMMERCE BLVD, SUITE A-32Riverdale, GA 30296-7198
Mailing Address804 Commerce Blvd, Suite A-32Riverdale, GA 30296-7198 · (770) 907-0194 · Fax (770) 907-0195
Phone(770) 907-0194
Fax(770) 907-0195
Organization SubpartNo
Authorized OfficialEfiong Eyo MbabaOwner · (770) 907-0194
Enumeration DateApril 16, 2008
Last NPPES UpdateAugust 25, 2008
✔ NPI 1790959187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in GA · 06-19916
Definition
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.
804 COMMERCE BLVD, Riverdale, GA 30296
Open in Google Maps ↗

Other Identifiers 2

Medicaid379763323AGA
Medicare NSC5432230001GA

Other Providers at the Same Location NPPES 7

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

L.T. EXAMS, INC
Clinical Medical Laboratory
804 COMMERCE BLVD, STE D
RIVERDALE, GA 30296
Clayton County (770) 996-4724
MR. EFIONG E. MBABA REGISTERED NURSE
Durable Medical Equipment & Medical Supplies
804 COMMERCE BLVD, SUITE A-32
RIVERDALE, GA 30296
Clayton County (770) 907-0194
MR. WILLIE ROY CAMERON LPC
Counselor (Professional)
804 COMMERCE BLVD, STE-A12-14
RIVERDALE, GA 30296
Clayton County (770) 994-8960
FIELD LABS DIAGNOSTICS
Clinical Medical Laboratory
804 COMMERCE BLVD
RIVERDALE, GA 30296
Clayton County (404) 452-2817
MS. APRIL PAULK CPT, CNA
Technician, Pathology (Phlebotomy)
804 COMMERCE BLVD
RIVERDALE, GA 30296
Clayton County (404) 452-2817
HOUSE OF INSPIRATION GROUP HOME, INC
Community/Behavioral Health
804 COMMERCE BLVD, SUITE A2
RIVERDALE, GA 30296
Clayton County (678) 479-7040
SOUTHSIDE INTERNAL MEDICINE PC
Clinic/Center (Primary Care)
804 COMMERCE BLVD, SUITE B
RIVERDALE, GA 30296
Clayton County (770) 997-6644

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 Maxicare Medical Supply's NPI number?

The NPI number for Maxicare Medical Supply is 1790959187. It was assigned to this organization in the NPPES registry on April 16, 2008.

Where is Maxicare Medical Supply located?

Maxicare Medical Supply is located at 804 Commerce Blvd Suite A-32, Riverdale, GA 30296. The listed phone number is (770) 907-0194.

What is Maxicare Medical Supply's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Maxicare Medical Supply was last updated on August 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.