Koalaty Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KOALATY HOME CARE

Practice address

26101 Country Club Blvd Apt 907
North Olmsted, OH 44070-4546

Phone

(440) 529-5092

NPI assigned

Dec 5, 2024

Organization subpart

No

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

Authorized official

Name

Enjoli Johnson, RN

Title

Ceo

Phone

(440) 529-5092

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1548076532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26101 COUNTRY CLUB BLVD APT 907",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440704546",
            "telephone_number": "440-529-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26101 COUNTRY CLUB BLVD APT 907",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440704546",
            "telephone_number": "440-529-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOALATY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ENJOLI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "440-529-5092",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dug Soo Kim, DMD
• Elizabeth Kitchen, M.S., R.D., L.D.
• Nancy Ann Klein, LPCC
• Gregory Donald Klyczek, D.C.
• Ellen Knotek, M.A. CCC-SLP
• Yvette G Kolta
• Brittany Kopena, APRN, PMHNP
• Anthony Wayne Korte, RPH
• Jessica Kusina Mark, PHD
• Brooke Lahnan, LMT

• Home Health Agency in North Olmsted, OH
• Providers in North Olmsted, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.