OrganizationActive
Maxicare Medical Supply
NPI 1790959187 · Durable Medical Equipment & Medical Supplies · Riverdale, GA
Provider details
- NPI number
- 1790959187
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Efiong Mbaba, Owner(770) 907-0194
- License
- 06-19916 (GA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
804 Commerce Blvd
Suite A-32
Riverdale, GA 30296-7198
Phone: (770) 907-0194
Fax: (770) 907-0195
Approximate (ZIP-level) locationGet directions
Mailing address
804 Commerce Blvd
Riverdale, GA 30296-7198
Registry dates
- Enumerated
- 2008-04-16
- Last updated
- 2008-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.