Kimberly Sangare

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Practice address

2302 Norwood Ave Apt 3
Cincinnati, OH 45212-2738

Phone

(513) 904-1575

NPI assigned

Mar 3, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1720613474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 NORWOOD AVE APT 3",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122738",
            "telephone_number": "513-904-1575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 NORWOOD AVE APT 3",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122738",
            "telephone_number": "513-904-1575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11590 Century Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452463317",
            "country_code": "US",
            "telephone_number": "513-771-7239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANGARE",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberlee Sandusky, RN, PHN II
• Susan Marie Sandwall, LISW-S
• Saneta Smith
• Jeremy Sanford
• Jessica Marie Sanford, CNP
• Kiranpal Singh Sangha
• Isaac Olatunde Sangodele, RN
• Theophilus Akinola Sangodele
• Zeinab Sani Ellis, CNP
• James Joseph Sanitato, M.D.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.