NPIMap

Organization Active NPI

Kanyongo

  • Adult Care Home Facility
  • Gahanna, OH
National Provider Identifier
1467809889
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
397097 Issued in OH
Legal business name
KANYONGO
Practice address
4075 Forest Edge Dr
Gahanna, OH 43230-1015
Phone
(614) 446-0166
NPI assigned
May 16, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Authorized official

Name
Concillia KanyongoNPI 1376971630
Title
Registered Nurse
Phone
(614) 446-0166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 397097 OH Primary

Addresses

Primary practice location

4075 Forest Edge Dr
Gahanna, OH 43230-1015

Mailing address

4075 Forest Edge Dr
Gahanna, OH 43230-1015
Phone (614) 446-0166

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1467809889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4075 FOREST EDGE DR",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301015",
            "telephone_number": "614-446-0166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4075 FOREST EDGE DR",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432301015",
            "telephone_number": "614-446-0166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANYONGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "KANYONGO",
        "authorized_official_first_name": "CONCILLIA",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "614-446-0166"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "OH",
            "license": "397097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.