Active NPI
Kenneth Kelechi Ekechukwu Jr., ENGR
- Home Health Aide
- South Euclid, OH
National Provider Identifier
1720516644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 1408 Grantleigh Rd
South Euclid, OH 44121-2508 - Phone
- (216) 394-3329
- NPI assigned
- May 23, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | |||
| Home Health Aide | 374U00000X | OH | Primary |
Addresses
Primary practice location
1408 Grantleigh Rd
South Euclid, OH 44121-2508
Mailing address
1408 Grantleigh Rd
South Euclid, OH 44121-2508
Phone (216) 394-3329
Other practice location 1
2013 Shreya St
El Paso, TX 79938-4662
Phone (216) 394-3329
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831246 | 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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Home Health Agency LLC | Homemaker | Current | Accepting new patients |
| Noras Home Health Agency LLC | Current | Accepting new patients |
Organizations & group practices 2
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
- Bedford Heights, OH
- NPI 1063031821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1720516644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1408 GRANTLEIGH RD",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441212508",
"telephone_number": "216-394-3329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1408 GRANTLEIGH RD",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441212508",
"telephone_number": "216-394-3329"
}
],
"practiceLocations": [
{
"address_1": "2013 Shreya St",
"address_purpose": "LOCATION",
"city": "El Paso",
"state": "TX",
"postal_code": "799384662",
"country_code": "US",
"telephone_number": "216-394-3329",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EKECHUKWU",
"first_name": "KENNETH",
"middle_name": "KELECHI",
"name_suffix": "Jr.",
"credential": "ENGR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-23",
"last_updated": "2022-07-21",
"certification_date": "2020-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1831246",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in South Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.