Individual provider Active NPI

Yeneochia Ikhelowa, MPH, MBA, CPCO

  • Home Health Aide
  • Riverside, CA
National Provider Identifier
1376937276
Registry record updated Mar 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
10759 Magnolia Ave
Ste J
Riverside, CA 92505-3082
Phone
(951) 376-8018
Fax
(951) 266-5771
NPI assigned
Mar 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X
Home Health Aide 374U00000X Primary

Addresses

Primary practice location

10759 Magnolia Ave
Ste J
Riverside, CA 92505-3082

Mailing address

10759 Magnolia Ave
Ste J
Riverside, CA 92505-3082
Phone (951) 376-8018

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
Credentials
Master of Business Administration

Practice roles

OrganizationSpecialtyStatusNew patients
Desire Home Care, Inc Current Accepting new patients
Definity Hospice Inc Current Accepting new patients

Locations

10759 Magnolia Ave
Ste J
Riverside, CA 92505
Phone (951) 376-8018

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1427500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427500800000",
    "number": "1376937276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10759 MAGNOLIA AVE",
            "address_2": "STE J",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053082",
            "telephone_number": "951-376-8018",
            "fax_number": "951-266-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10759 MAGNOLIA AVE",
            "address_2": "STE J",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053082",
            "telephone_number": "951-376-8018",
            "fax_number": "951-266-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IKHELOWA",
        "first_name": "YENEOCHIA",
        "credential": "MPH, MBA, CPCO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-28",
        "last_updated": "2015-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2015; 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.