Active NPI
Elisha Ukonna Nnaji
- Home Health Aide
- Kings Mountain, NC
National Provider Identifier
1285367367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HC6635
- Practice address
- 507 Woodside Dr
Kings Mountain, NC 28086-2808 - Phone
- (704) 750-6100
- Fax
- (704) 750-6103
- NPI assigned
- Jul 6, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | HC6635 | NC | Primary |
Addresses
Primary practice location
507 Woodside Dr
Kings Mountain, NC 28086-2808
Mailing address
11444 Bloomfield Dr
Charlotte, NC 28277-2778
Phone (704) 222-1253
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HC6635 | NC | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clevelands Home Care Service Inc | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- In Home Supportive Care Agency
- Kingsmountain, NC
- NPI 1235847146
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679184000000",
"number": "1285367367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11444 BLOOMFIELD DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282772778",
"telephone_number": "704-222-1253",
"fax_number": "704-849-5251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 WOODSIDE DR",
"city": "KINGS MOUNTAIN",
"state": "NC",
"postal_code": "280862808",
"telephone_number": "704-750-6100",
"fax_number": "704-750-6103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NNAJI",
"first_name": "ELISHA",
"middle_name": "UKONNA",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-06",
"last_updated": "2023-03-19",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NC",
"license": "HC6635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kings Mountain, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.