Individual provider Active NPI

Felix Atabong, LPN

  • Licensed Practical Nurse
  • Chagrin Falls, OH
National Provider Identifier
1467906420
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
152595 Issued in OH
Practice address
7160 Chagrin Rd Ste 135
Chagrin Falls, OH 44023-1136
Phone
(440) 318-1000
Fax
(440) 318-1092
NPI assigned
Aug 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X
Nurse's Aide 376K00000X
Licensed Practical Nurse 164W00000X 152595 OH Primary

Addresses

Primary practice location

7160 Chagrin Rd Ste 135
Chagrin Falls, OH 44023-1136

Mailing address

7160 Chagrin Rd Ste 135
Chagrin Falls, OH 44023-1136
Phone (440) 318-1000

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
152595OHMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Overtimecare , LLC CurrentSince Aug 3, 2025 Accepting new patients
Overtimecare , LLC CurrentSince Feb 26, 2023 Accepting new patients

Locations

7160 Chagrin Rd
Ste 135
Chagrin Falls, OH 44023
Phone (440) 318-1000

Organizations & group practices 2

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": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1467906420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7160 CHAGRIN RD STE 135",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440231136",
            "telephone_number": "440-318-1000",
            "fax_number": "440-318-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7160 CHAGRIN RD STE 135",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440231136",
            "telephone_number": "440-318-1000",
            "fax_number": "440-318-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATABONG",
        "first_name": "FELIX",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-08",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "152595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chagrin Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.