Individual Healthcare Provider
Boniface Mbaka
Provider's NPPES record last updated: January 6, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1003625955
- Primary Specialty
- Registered Nurse — Home Health
- Practice Location
- San Antonio, Texas
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 17, 2026, 11:14 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Registered Nurse
Home Health
Nursing Service Providers
Definition to come...
Taxonomy code 163WH0200X Home Health Aide
Nursing Service Related Providers
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
Taxonomy code 374U00000X
Provider-Reported License Information
- Registered Nurse (Texas)
- 023742
- Home Health Aide (Texas)
- 023742
Practice Locations
Practice Location
12634 Nacogdoches Rd
San Antonio, Texas 78217-2118
Phone: (713) 505-6686
Record Information
- Enumeration Date
- January 6, 2025
- Provider's NPPES Record Last Updated
- January 6, 2025
- Certification Date
- January 1, 2025
- NPISignal NPPES Dataset
- August 2026
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