Individual provider Active NPI

Favor Ngozi Chikelu

  • Case Manager/Care Coordinator
  • Las Vegas, NV
National Provider Identifier
1669814968
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2617 Calico Hearts CT
Las Vegas
Las Vegas, NV 89106-1443
Phone
(702) 772-3663
NPI assigned
Jul 27, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

2617 Calico Hearts CT
Las Vegas
Las Vegas, NV 89106-1443

Mailing address

2617 Calico Hearts CT
Las Vegas
Las Vegas, NV 89106-1443
Phone (702) 772-3663

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renewed Mind Adult Day Care Center 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.

NPI Registry JSON

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

{
    "created_epoch": "1374883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1669814968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 CALICO HEARTS CT",
            "address_2": "LAS VEGAS",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891061443",
            "telephone_number": "702-772-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 CALICO HEARTS CT",
            "address_2": "LAS VEGAS",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891061443",
            "telephone_number": "702-772-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIKELU",
        "first_name": "FAVOR",
        "middle_name": "NGOZI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-27",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.