Organization Active NPI

412 Direct Care LLC

  • Primary Care Nurse Practitioner
  • Wadsworth, OH
National Provider Identifier
1114852647
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
412 DIRECT CARE LLC
Practice address
1499 Brentfield Dr
Wadsworth, OH 44281-6204
Phone
(412) 623-9101
NPI assigned
Jun 16, 2026
Last updated
Jun 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Authorized official

Name
Nchima Chibaye, CNPNPI 1316692171
Title
Ceo
Phone
(412) 623-9101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X NU Primary
Mental Health Counselor 101YM0800X NU
Registered Nurse 163W00000X NU
Phlebology Physician 202K00000X NU

Addresses

Primary practice location

1499 Brentfield Dr
Wadsworth, OH 44281-6204

Mailing address

1499 Brentfield Dr
Wadsworth, OH 44281-6204
Phone (412) 623-9101

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1781568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1114852647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1499 BRENTFIELD DR",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442816204",
            "telephone_number": "412-623-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1499 BRENTFIELD DR",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442816204",
            "telephone_number": "412-623-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "412 DIRECT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-16",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "CHIBAYE",
        "authorized_official_first_name": "NCHIMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "412-623-9101",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadsworth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.