Individual provider Active NPI

Emmanuel Chidobe Nwankwo

  • Home Health Registered Nurse
  • Montgomery Village, MD
National Provider Identifier
1447886080
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
R195263 Issued in MD
Practice address
9861 Dellcastle Rd
Montgomery Village, MD 20886-1324
Phone
(240) 678-8994
NPI assigned
Mar 16, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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 R195263 MD Primary

Addresses

Primary practice location

9861 Dellcastle Rd
Montgomery Village, MD 20886-1324

Mailing address

9861 Dellcastle Rd
Montgomery Village, MD 20886-1324
Phone (240) 678-8994

Other identifiers 1

IdentifierTypeStateIssuer
N520229115300MedicaidMD

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

State licenses

LicenseStateTypeSpecialty
R195263MDMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Emglohealth Services LLC CurrentSince Mar 22, 2020 Accepting new patients

Organizations & group practices 1

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": "1584316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1447886080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9861 DELLCASTLE RD",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208861324",
            "telephone_number": "240-678-8994",
            "fax_number": "240-607-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9861 DELLCASTLE RD",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208861324",
            "telephone_number": "240-678-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWANKWO",
        "first_name": "EMMANUEL",
        "middle_name": "CHIDOBE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-16",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MD",
            "license": "R195263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N520229115300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery Village, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2020; 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.