Individual provider Active NPI

Hansen Nkefor, HOME HEALTH

  • Home Health Aide
  • Lawrenceville, GA
National Provider Identifier
1174980239
Registry record updated Feb 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
2775 Cruse Rd Ste 1603
Lawrenceville, GA 30044-7145
Phone
(404) 933-9170
NPI assigned
Jan 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X GA Primary

Addresses

Primary practice location

2775 Cruse Rd Ste 1603
Lawrenceville, GA 30044-7145

Mailing address

2208 Austin Common Way
Dacula, GA 30019-7777
Phone (404) 933-9170

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

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454284800000",
    "number": "1174980239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 AUSTIN COMMON WAY",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300197777",
            "telephone_number": "404-933-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 CRUSE RD STE 1603",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300447145",
            "telephone_number": "404-933-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NKEFOR",
        "first_name": "HANSEN",
        "credential": "HOME HEALTH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2016; 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.