Josue Kabongo, RN, BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN467512 Issued in OH

Practice address

3318 W 110TH St
Cleveland, OH 44111-2858

Phone

(216) 577-4945

NPI assigned

Dec 11, 2024

Last updated

Dec 11, 2024By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sharon Healing Perspectives

  • In Home Supportive Care Agency
  • Cleveland, OH
  • NPI 1639032543
  NPD Authorized official

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1326855594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3318 W 110TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441112858",
            "telephone_number": "216-577-4945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3318 W 110TH ST",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441112858",
            "telephone_number": "216-577-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABONGO",
        "first_name": "JOSUE",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN467512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatima Grace Kaba
• Matthew Joseph Kabalan, MD
• Samantha Kabat, RD, LD
• Gowri Kabbur, M.D.
• Areeba Kabir
• Dennis J Kacian, PA-C
• Tiffany Kacmarek
• Abigail Olivia Kacpura, DO
• Jennifer Kaczmarek, M.D., M.SC.
• Justin John Kaczmarek

• Registered Nurse in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.