Chukwuzitere Y Nwachukwu – Home Health Aide

Key facts

NPI: 1740950666
Entity type: Individual (NPI type 1)
Primary specialty: Home Health Aide 374U00000X
Practice address: 5430 Newton St
Apt 7
Hyatsville, MD 20784
Phone: (240) 726-0583
NPI assigned: Sep 14, 2021
Sex: Male
Sole proprietor: Yes

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Home Health Aide	374U00000X			Yes

Addresses

Primary practice location

5430 Newton St
Apt 7
Hyatsville, MD 20784

Mailing address

5430 Newton St
Apt 7
Hyatsville, MD 20784
Phone (240) 726-0583

Other identifiers

Identifier	Type	State	Issuer
NA0000608861	Medicaid	DC

Electronic endpoints

Type	Endpoint	Use	Affiliation
CONNECT URL	abahomehealth.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 14, 2021.

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1740950666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5430 NEWTON ST",
            "address_2": "APT 7",
            "city": "HYATSVILLE",
            "state": "MD",
            "postal_code": "20784",
            "telephone_number": "240-726-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5430 NEWTON ST",
            "address_2": "APT 7",
            "city": "HYATSVILLE",
            "state": "MD",
            "postal_code": "20784",
            "telephone_number": "240-726-0583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NWACHUKWU",
        "first_name": "CHUKWUZITERE",
        "middle_name": "Y",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA0000608861",
            "state": "DC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "abahomehealth.com",
            "affiliation": "N",
            "address_1": "5430 newton st",
            "address_2": "apt 7",
            "city": "hyatsville",
            "state": "MD",
            "country_code": "US",
            "postal_code": "20784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hyatsville, MD

Nembo Andreas Menkemteba I, HHA

All providers in Hyatsville, MD · Home Health Aide in Maryland

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 14, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.