Individual provider Active NPI

Raphael Ebubechukwu Onyekachi

  • Home Health Aide
  • Albuquerque, NM
National Provider Identifier
1386368512
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
4113 Eubank Blvd NE Ste 200E
Albuquerque, NM 87111-3482
Phone
(505) 910-8496
NPI assigned
Sep 30, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X NM Primary

Addresses

Primary practice location

4113 Eubank Blvd NE Ste 200E
Albuquerque, NM 87111-3482

Mailing address

700 Eubank Blvd SE Apt 518
Albuquerque, NM 87123-1300
Phone (470) 461-7149

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

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Care LLC CurrentSince Sep 5, 2023 Accepting new patients
Lifebridge Supported Living LLC Current Accepting new patients

Locations

4113 Eubank Blvd NE
Ste 200E
Albuquerque, NM 87111
Phone (505) 910-8496

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": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664496000000",
    "number": "1386368512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 EUBANK BLVD SE APT 518",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871231300",
            "telephone_number": "470-461-7149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4113 EUBANK BLVD NE STE 200E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871113482",
            "telephone_number": "505-910-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONYEKACHI",
        "first_name": "RAPHAEL",
        "middle_name": "EBUBECHUKWU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.