Ivo Ewang Ewane, REGISTERED NURSE

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

041745373 Issued in IL

Practice address

3116 Prairie St
Aurora, IL 60506-9229

Phone

(630) 566-9165

NPI assigned

Jun 5, 2020

Last updated

Jun 5, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

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.

• Mercy Reigns Homecare Services LTD

  • Home Health Registered Nurse
  • Aurora, IL
  • NPI 1932723988
  NPD Authorized official
• Mercy Reigns Homecare Services LTD.

  • Nursing Care Agency
  • Aurora, IL
  • NPI 1518581461
  NPD Authorized official

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1366066219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3116 PRAIRIE ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605069229",
            "telephone_number": "630-566-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3116 PRAIRIE ST",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605069229",
            "telephone_number": "630-566-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWANE",
        "first_name": "IVO",
        "middle_name": "EWANG",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "IL",
            "license": "041745373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everset Health - Illinois PLLC
• Evolve Care Inc.
• Evolve Care Inc.
• Evolve Physical Therapy Inc
• Evolving Behavior
• Eyeland Optical Corporation
• Eyeland Optical Corporation
• Eyemax Inc.
• Eyes of Chicago LTD
• Eyes of Chicago, LTD

• Home Health Registered Nurse in Aurora, IL
• Providers in Aurora, IL by specialty
• Home Health Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.