Kojo Anebo, ADMINISTRATOR

Primary specialty

Religious Nonmedical Nursing PersonnelTaxonomy code 374T00000X

Practice address

1723 Carriage Creek Dr
Desoto, TX 75115-3675

Phone

(214) 875-6961

Fax

(972) 780-5579

NPI assigned

Oct 2, 2017

Last updated

Oct 2, 2017By 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

Other names 1

• Mr. Kojo Anebo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Ave Maria Home Care Services, LLC

  • Home Health Aide
  • Desoto, TX
  • NPI 1649780487
  Authorized official Same address or phone

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506902400000",
    "number": "1396255683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 CARRIAGE CREEK DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153675",
            "telephone_number": "214-875-6961",
            "fax_number": "972-780-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 CARRIAGE CREEK DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751153675",
            "telephone_number": "214-875-6961",
            "fax_number": "972-780-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANEBO",
        "first_name": "KOJO",
        "credential": "ADMINISTRATOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374T00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Nursing Personnel",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KOJO",
            "last_name": "ANEBO",
            "prefix": "MR.",
            "credential": "ADMINISTRATOR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Carla Anderson, MD
• Chasity Anderson, FNP
• NA'Kejia Anderson
• Thomasina Deshea Anderson, REGISTERED NURSE
• Andrea V. Brown, M.D., P.a.
• Anesthesia Institute of Texas PLLC
• Angelic Care Home Health LLC
• Angelina Michelle's Signature Hair Company LLC
• Angels of Hands Home Health Agency Corp (Angels of Hands Assisted Living)
• Ani Assisted Living Facility Limited Liability Company

• Religious Nonmedical Nursing Personnel in Desoto, TX
• Providers in Desoto, TX by specialty
• Religious Nonmedical Nursing Personnel in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.