Bhakta B Rizal

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Practice address

240 E Tallmadge Ave
Akron, OH 44310-2338

Phone

(360) 915-3977

NPI assigned

Feb 13, 2023

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

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 and National Provider Directory roles.

• Shanti Home Health LLC

  • Adult Day Care Clinic/Center
  • Akron, OH
  • NPI 1003513870
  NPD Authorized official

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

{
    "created_epoch": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676246400000",
    "number": "1497452254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 E TALLMADGE AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443102338",
            "telephone_number": "360-915-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 E TALLMADGE AVE",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443102338",
            "telephone_number": "360-915-3977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1897 Brittain Rd",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443101843",
            "country_code": "US",
            "telephone_number": "360-915-3977",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIZAL",
        "first_name": "BHAKTA",
        "middle_name": "B",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-13",
        "last_updated": "2023-02-13",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramonita Rivera
• Stephanie A Rivera, DO
• Antwoin Diere Rivers
• Crystal Rivers
• Christopher Riwniak, DO
• Aaron Michael Roach
• Rebekah Roan
• Tara Robare
• Audie Paul Robbins
• Kara Robbins

• Adult Day Care Clinic/Center in Akron, OH
• Providers in Akron, OH by specialty
• Adult Day Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; 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.