MEDICARE: SHILLING MBU SOPPO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1972301422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHILLING MBU SOPPO

Provider Business Mailing Address
First Line	:	7509 BUCHANAN ST APT 319
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20784-2381
Country	:	US
Telephone Number	:	202-839-6863
Fax Number	:

Provider Business Practice Location Address
First Line	:	7509 BUCHANAN ST APT 319
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20784-2381
Country	:	US
Telephone Number	:	202-839-6863
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/03/2025
Last Update Date	:	03/03/2025

Similar Medicare Providers

1154994192 — ISREAL NTUNGFOR
Practice Location Address:

7509 BUCHANAN ST APT 319
HYATTSVILLE, MD
20784-2381

Practice Phone: 213-263-1146
Practice Fax:

1497610323 — DAINTI RICHARDS
Practice Location Address:

3950 GARDEN CITY DR APT 204
HYATTSVILLE, MD
20785-2381

Practice Phone: 203-935-6519
Practice Fax:

1104792183 — SUPREME CARE SERVICESLLC
Practice Location Address:

4738 68TH AVE
HYATTSVILLE, MD
20784-1400

Practice Phone: 301-814-1509
Practice Fax: 301-814-1509

1932063559 — ODETTE SIRRI NGWA
Practice Location Address:

4074 HANSON OAKS DR
HYATTSVILLE, MD
20784-2315

Practice Phone: 240-749-5342
Practice Fax:

1033073366 — DIVINE NZEFEH EFFUTNGU
Practice Location Address:

7509 TAYLOR ST
HYATTSVILLE, MD
20784-6319

Practice Phone: 202-948-8431
Practice Fax:

1114881125 — THERESE NGOSONG NKAFU PHD, HHA
Practice Location Address:

3408 55TH AVE
HYATTSVILLE, MD
20784-1022

Practice Phone: 240-791-8922
Practice Fax:

Directions to “ SHILLING MBU SOPPO ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.