Ibrahima Sory Diallo

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

1505 Stonecreek Dr S Ste 103
Pickerington, OH 43147-9869

Phone

(614) 965-6760

NPI assigned

Nov 22, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Ikb Care Services

  dba Synergy HomeCare of East Columbus

  • In Home Supportive Care Agency
  • Pickerington, OH
  • NPI 1215694310
  NPD Authorized official

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1427715622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 STONECREEK DR S STE 103",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479869",
            "telephone_number": "614-965-6760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 STONECREEK DR S STE 103",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431479869",
            "telephone_number": "614-965-6760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIALLO",
        "first_name": "IBRAHIMA",
        "middle_name": "SORY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://shc401.ersp.biz/index.cfm?event=general.index&refer=event=admin",
            "affiliation": "N",
            "endpointDescription": "CRM",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Customer relationship management",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1505 Stonecreek Dr S Ste 103",
            "city": "Pickerington",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431479869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rani Samyuktha Devabhaktuni
• Peyton J Devlin
• Melissa Ann Devore
• Devoted Loving Care LLC
• Sagar Dhital
• Mamadou Saliou Diallo, DNP, FNP-BC,PMHNP-BC
• Oumou Salma Diallo
• Kenneth Eugene Dickinson III
• Chloe Renee Dillinger, PA-C
• Elizabeth Ann Dillon

• In Home Supportive Care Agency in Pickerington, OH
• Providers in Pickerington, OH by specialty
• In Home Supportive Care Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.