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Maxicare Medical Supply

Durable Medical Equipment & Medical Supplies in Riverdale, GA · enumerated 2008 · authorized official Efiong Mbaba, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1790959187

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Maxicare Medical Supply
Practice address 804 Commerce Blvd, Suite A-32, Riverdale, GA, 30296
Fax (770) 907-0195
Enumeration date Apr 16, 2008
Last updated in NPPES Aug 25, 2008

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers · License 06-19916 (GA) Primary

Authorized official

Name Efiong Mbaba
Title Owner

Other identifiers

Identifier Type State Issuer
379763323A Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Maxicare Medical Supply?
Maxicare Medical Supply is registered in NPPES as a Durable Medical Equipment & Medical Supplies (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-08-25.