Emmanuel I Anyaogu

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

412101 Issued in MN

Practice address

8906 177TH St W
Lakeville, MN 55044-6670

Phone

(763) 205-1702

Fax

(763) 205-1703

NPI assigned

Oct 30, 2023

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Total Care Assisted Living Services

  • Assisted Living Facility
  • Lakeville, MN
  • NPI 1124891908
  NPD Authorized official

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1063285393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 177TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446670",
            "telephone_number": "612-710-7804",
            "fax_number": "952-997-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8906 177TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550446670",
            "telephone_number": "763-205-1702",
            "fax_number": "763-205-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANYAOGU",
        "first_name": "EMMANUEL",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MN",
            "license": "412101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Lakeville, MN
• Case Manager/Care Coordinator in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.