Kossivi Roger Djagli

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

545 Metro PL S Ste 100
Dublin, OH 43017-5353

Phone

(614) 592-9049

NPI assigned

Nov 9, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Advance DD Care, LLC

  • Home Health Agency
  • Dublin, OH
  • NPI 1245569060
  NPD Authorized official

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1225630965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20141",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432200141",
            "telephone_number": "614-592-9049",
            "fax_number": "614-364-7469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 METRO PL S STE 100",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430175353",
            "telephone_number": "614-592-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DJAGLI",
        "first_name": "KOSSIVI",
        "middle_name": "ROGER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-09",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@advancedd.org",
            "affiliation": "N",
            "address_1": "1940 W Mound St",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432232007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hailee Dawn Distel
• Laura Divens
• Robert A. Dixon, D.O.
• Shakiyla Dixon
• Shannon Dixon
• Christina Djokic
• Samantha Kate Dmitruk, PTA
• Michelle Thao DO, PT, DPT
• Amanda Louise Dobner, MSN, FNP-C
• Nerphy Dobney

• Home Health Aide in Dublin, OH
• Providers in Dublin, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.

Verify at the official NPI Registry.