Individual provider Active NPI

Frank Kwabena Yeboah, LNHA

  • Nursing Home Administrator
  • Troy, NY
National Provider Identifier
1013473255
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Home AdministratorTaxonomy code 376G00000X
License
05809 Issued in NY
Practice address
100 New Turnpike Rd
Troy, NY 12182-1412
Phone
(518) 235-1410
Fax
(518) 235-1632
NPI assigned
Feb 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Home Administrator 376G00000X NH5488 MA
Nursing Home Administrator 376G00000X 3143 NJ
Nursing Home Administrator 376G00000X 05809 NY Primary

Addresses

Primary practice location

100 New Turnpike Rd
Troy, NY 12182-1412

Mailing address

8 Rosebud CT
Rensselaer, NY 12144-5620
Phone (518) 506-1924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NH5488MAMDNursing Home Administrator
3143NJMDNursing Home Administrator
05809NYMDNursing Home Administrator

Practice roles

OrganizationSpecialtyStatusNew patients
Teresian House Nursing Home Co Inc Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1013473255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ROSEBUD CT",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121445620",
            "telephone_number": "518-506-1924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NEW TURNPIKE RD",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121821412",
            "telephone_number": "518-235-1410",
            "fax_number": "518-235-1632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEBOAH",
        "first_name": "FRANK",
        "middle_name": "KWABENA",
        "credential": "LNHA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "MA",
            "license": "NH5488",
            "primary": false
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "NJ",
            "license": "3143",
            "primary": false
        },
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "NY",
            "license": "05809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.