Individual provider Active NPI

Emeka Linus Chikwelu Okafor, RN

  • Home Health Registered Nurse
  • Coon Rapids, MN
National Provider Identifier
1407370240
Registry record updated Aug 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
157754-5 Issued in MN
Practice address
3675 124TH Cir NW
Coon Rapids, MN 55433-1659
Phone
(763) 222-4746
Fax
(763) 888-0075
NPI assigned
Aug 2, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 157754-5 MN Primary

Addresses

Primary practice location

3675 124TH Cir NW
Coon Rapids, MN 55433-1659

Mailing address

2608 87TH TRL N
Brooklyn Park, MN 55443-3742
Phone (763) 222-4746

Other identifiers 1

IdentifierTypeStateIssuer
1417342494OtherMNHOME AND COMMUNITY BASED SERVICES

Other names 1

  • Mr. Linus Emeka Chikwelu Okafor Former name

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
157754-5MNMDHome Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501632000000",
    "number": "1407370240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 87TH TRL N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433742",
            "telephone_number": "763-222-4746",
            "fax_number": "763-888-0075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 124TH CIR NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554331659",
            "telephone_number": "763-222-4746",
            "fax_number": "763-888-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKAFOR",
        "first_name": "EMEKA LINUS",
        "middle_name": "CHIKWELU",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-02",
        "last_updated": "2017-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MN",
            "license": "157754-5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME AND COMMUNITY BASED SERVICES",
            "identifier": "1417342494",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINUS EMEKA",
            "last_name": "OKAFOR",
            "middle_name": "CHIKWELU",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coon Rapids, MN

Sources for this page

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