Organization Active NPI

Mike a.Ogunkah

Doing business as Prodex Home Health

  • Home Health Agency
  • Lawndale, CA
National Provider Identifier
1235377540
Registry record updated Jan 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
550000178 Issued in CA
Legal business name
MIKE A.OGUNKAH
Doing business as
Prodex Home Health
Practice address
14719 Hawthorne Blvd Ste 202
Suite 202
Lawndale, CA 90260-1544
Phone
(310) 219-2889
Fax
(310) 219-2891
NPI assigned
Jan 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2009

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

Authorized official

Name
Michael Ogunkah, MBANPI 1396984928
Title
Administrator
Phone
(310) 219-2889

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 550000178 CA Primary

Addresses

Primary practice location

14719 Hawthorne Blvd Ste 202
Suite 202
Lawndale, CA 90260-1544

Mailing address

14719 Hawthorne Blvd Ste 202
Suite 202
Lawndale, CA 90260-1544
Phone (310) 219-2889

Other identifiers 1

IdentifierTypeStateIssuer
HHA08488FMedicaidCA

Other names 1

  • Prodex Home Health Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1235377540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14719 HAWTHORNE BLVD STE 202",
            "address_2": "SUITE 202",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601544",
            "telephone_number": "310-219-2889",
            "fax_number": "310-219-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14719 HAWTHORNE BLVD STE 202",
            "address_2": "SUITE 202",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601544",
            "telephone_number": "310-219-2889",
            "fax_number": "310-219-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIKE A.OGUNKAH",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "OGUNKAH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-219-2889",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "550000178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA08488F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prodex Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawndale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.