Individual provider Active NPI

Franck Romual Kombou Sile

  • Home Health Aide
  • Greensboro, NC
National Provider Identifier
1801407168
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
HC5620 Issued in NC
Practice address
3868 West Ave Apt E
Greensboro, NC 27407-4569
Phone
(984) 369-4476
NPI assigned
Aug 11, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X HC5620 NC Primary

Addresses

Primary practice location

3868 West Ave Apt E
Greensboro, NC 27407-4569

Mailing address

3868 West Ave
Greensboro, NC 27407-4349
Phone (984) 369-4476

Electronic endpoints 1

TypeEndpointUseAffiliation
RESTful URL URL Health Information Exchange (HIE)

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

State licenses

LicenseStateTypeSpecialty
HC5620NCMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Gervita Home Care CurrentSince Sep 6, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1801407168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3868 WEST AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274074349",
            "telephone_number": "984-369-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3868 WEST AVE APT E",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274074569",
            "telephone_number": "984-369-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMBOU SILE",
        "first_name": "FRANCK ROMUAL",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NC",
            "license": "HC5620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "URL",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "3868 West Ave Apt E",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274074569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.