NPIMap

Organization Active NPI

Ediye Enoobong

  • Adult Care Home Facility
  • Whitehall, OH
National Provider Identifier
1669882601
Registry record updated Apr 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
156004 Issued in OH
Legal business name
EDIYE ENOOBONG
Practice address
4672 Harbinger Cir W
Whitehall, OH 43213-6115
Phone
(614) 377-9044
Fax
(614) 453-5712
NPI assigned
Apr 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2014

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

Authorized official

Name
Ediye Joy Enoobong, NURSENPI 1891092607
Title
Licensed Practical Nurse
Phone
(614) 377-9044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 156004 OH Primary

Addresses

Primary practice location

4672 Harbinger Cir W
Whitehall, OH 43213-6115

Mailing address

4672 Harbinger Cir W
Whitehall, OH 43213-6115
Phone (614) 377-9044

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398729600000",
    "number": "1669882601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4672 HARBINGER CIR W",
            "city": "WHITEHALL",
            "state": "OH",
            "postal_code": "432136115",
            "telephone_number": "614-377-9044",
            "fax_number": "614-453-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4672 HARBINGER CIR W",
            "city": "WHITEHALL",
            "state": "OH",
            "postal_code": "432136115",
            "telephone_number": "614-377-9044",
            "fax_number": "614-453-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDIYE ENOOBONG",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2014-04-29",
        "status": "A",
        "authorized_official_last_name": "ENOOBONG",
        "authorized_official_first_name": "EDIYE",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "LICENSED PRACTICAL NURSE",
        "authorized_official_telephone_number": "614-377-9044",
        "authorized_official_credential": "NURSE"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "OH",
            "license": "156004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitehall, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2014; 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.