Organization Active NPI

Chika Patience Okerekw-Nwankwo

  • Adult Care Home Facility
  • Randolph, MA
National Provider Identifier
1750772570
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
RN195244 Issued in MA
Legal business name
CHIKA PATIENCE OKEREKW-NWANKWO
Practice address
22 Marion Street
Randolph, MA 02368
Phone
(781) 956-1866
NPI assigned
Feb 16, 2015
Last updated
Feb 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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

Authorized official

Name
Mrs. Chika Patience Okereke-Nwankwo, RN
Title
Nurse
Phone
(781) 956-1866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X RN195244 MA Primary

Addresses

Primary practice location

22 Marion Street
Randolph, MA 02368

Mailing address

22 Marion St
Randolph, MA 02368-2437
Phone (781) 956-1866

Other identifiers 1

IdentifierTypeStateIssuer
021785698MedicaidMA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424044800000",
    "number": "1750772570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 MARION ST",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "023682437",
            "telephone_number": "781-956-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 MARION STREET",
            "city": "RANDOLPH",
            "state": "MA",
            "postal_code": "02368",
            "telephone_number": "781-956-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIKA PATIENCE OKEREKW-NWANKWO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-16",
        "last_updated": "2015-02-16",
        "status": "A",
        "authorized_official_last_name": "OKEREKE-NWANKWO",
        "authorized_official_first_name": "CHIKA",
        "authorized_official_middle_name": "PATIENCE",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "781-956-1866",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MA",
            "license": "RN195244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021785698",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.