Active NPI
Canisia Emade Ngame Ebung
- Homemaker
- Dayton, OH
National Provider Identifier
1093314957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- 537 Windsor Park Dr
Dayton, OH 45459-4112 - Phone
- (937) 715-7909
- NPI assigned
- Oct 21, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | OH | Primary |
Addresses
Primary practice location
537 Windsor Park Dr
Dayton, OH 45459-4112
Mailing address
306 Crystal Point Dr
Dayton, OH 45459-4167
Phone (678) 558-5521
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graceworld Homecare LLC | Current | Accepting new patients | |
| Emadene Healthcare LLC | Homemaker | Current | Accepting new patients |
Locations
537 Windsor Park Dr
Dayton, OH 45459
Phone (937) 435-3588
Organizations & group practices 2
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.
-
- Homemaker
- Dayton, OH
- NPI 1851990527
-
- In Home Supportive Care Agency
- Dayton, OH
- NPI 1477363182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1093314957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 CRYSTAL POINT DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454594167",
"telephone_number": "678-558-5521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 WINDSOR PARK DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454594112",
"telephone_number": "937-715-7909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGAME EBUNG",
"first_name": "CANISIA",
"middle_name": "EMADE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-21",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.