Active NPI
Kamelah Ganaway
- Case Manager/Care Coordinator
- Willoughby, OH
National Provider Identifier
1750896106
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Mar 20, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 38882 Mentor Ave
Willoughby, OH 44094-7875 - Phone
- (440) 953-9999
- Fax
- (440) 918-3839
- NPI assigned
- Dec 7, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
38882 Mentor Ave
Willoughby, OH 44094-7875
Mailing address
38882 Mentor Ave
Willoughby, OH 44094-7875
Phone (440) 953-9999
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512604800000",
"number": "1750896106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38882 MENTOR AVE",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440947875",
"telephone_number": "440-953-9999",
"fax_number": "440-918-3839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "38882 MENTOR AVE",
"city": "WILLOUGHBY",
"state": "OH",
"postal_code": "440947875",
"telephone_number": "440-953-9999",
"fax_number": "440-918-3839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANAWAY",
"first_name": "KAMELAH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-12-07",
"last_updated": "2017-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willoughby, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.