Active NPI
Brenda Chinonso Uzomba I, NURSE AIDE
- Nurse's Aide
- Columbus, OH
National Provider Identifier
1548563232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- 401087780510
- Practice address
- 2946 Barclay SQ N
Columbus, OH 43209-3818 - Phone
- (614) 569-1236
- NPI assigned
- Dec 17, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 401087780510 | OH | Primary |
Addresses
Primary practice location
2946 Barclay SQ N
Columbus, OH 43209-3818
Mailing address
2946 Barclay SQ N
Columbus, OH 43209-3818
Phone (614) 569-1236
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3079207 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 401087780510 | OH | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Immaculate Homehealth Care Services LLC | Current | 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.
-
- Home Health Agency
- Columbus, OH
- NPI 1912249509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292544000000",
"number": "1548563232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2946 BARCLAY SQ N",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432093818",
"telephone_number": "614-569-1236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2946 BARCLAY SQ N",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432093818",
"telephone_number": "614-569-1236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UZOMBA",
"first_name": "BRENDA",
"middle_name": "CHINONSO",
"name_prefix": "Mrs.",
"name_suffix": "I",
"credential": "NURSE AIDE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-17",
"last_updated": "2010-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "OH",
"license": "401087780510",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3079207",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.