Desmond CHI

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

187364 Issued in OH

Practice address

1807 Brownstone Blvd
Toledo, OH 43614-1344

Phone

(734) 210-2938

NPI assigned

Jan 31, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Loving Heart Health Care

  • Home Health Agency
  • Toledo, OH
  • NPI 1033804349
  NPD Authorized official

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

{
    "created_epoch": "1706659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1720841976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 BROWNSTONE BLVD APT 403",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141325",
            "telephone_number": "734-210-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 BROWNSTONE BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436141344",
            "telephone_number": "734-210-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHI",
        "first_name": "DESMOND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-31",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "187364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CHI Living Communities (Namaste Alzheimer Center)
• CHI Living Communities (Medalion Health Center)
• CHI Living Communities (Bishop Drumm Retirement Center)
• CHI Living Communities (Franciscan Care)
• CHI Living Communities (Bishop Drumm Retirement Center)
• Jane Shanthi Chikkala, MD
• Walter Chilaka, MD
• Child First Therapy and Evaluations
• Andrea Kathleen Childers, RN
• Jaclyn Alyse Childers

• Licensed Practical Nurse in Toledo, OH
• Providers in Toledo, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.