Theophile Moise Ngoupa

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

603028790525 Issued in OH

Practice address

107 Green Meadows Dr E Apt C
Gahanna, OH 43230-2741

Phone

(240) 535-9780

NPI assigned

Aug 24, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1023924677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GREEN MEADOWS DR E APT C",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432302741",
            "telephone_number": "240-535-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GREEN MEADOWS DR E APT C",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432302741",
            "telephone_number": "240-535-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGOUPA",
        "first_name": "THEOPHILE",
        "middle_name": "MOISE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "OH",
            "license": "603028790525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Nursing Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.