Kahlfani Shomari Nantambu

Primary specialty

Chore ProviderTaxonomy code 372500000X

Practice address

33200 Schoolcraft Rd Ste 206
Livonia, MI 48150

Phone

(866) 698-7349

NPI assigned

Aug 28, 2023

Last updated

Sep 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Mr. Kevin George Riggins Sr. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• For Your Love Ones Inc

  dba FYLO Home Health Care

  • Chore Provider
  • Livonia, MI
  • NPI 1831962547
  NPD Authorized official

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

{
    "created_epoch": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1801671912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 NEWNAN CROSSING BLVD E APT 905",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302651591",
            "telephone_number": "678-698-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33200 SCHOOLCRAFT RD STE 206",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "48150",
            "telephone_number": "866-698-7349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANTAMBU",
        "first_name": "KAHLFANI",
        "middle_name": "SHOMARI",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-28",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "MI",
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MI",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEVIN",
            "last_name": "RIGGINS",
            "middle_name": "GEORGE",
            "prefix": "MR.",
            "suffix": "SR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Andrew Namou, D.D.S.
• Jenna Helen Nance
• Banathally Nanjundaswamy Nandish, MD
• Nina Nandish
• Alicia Nanna, DPT
• Ramprakash Narayana, M.S PHARM
• Harita Reddy Narra, RPH
• Jessica Elizabeth Narrett
• Rachel Christine Nash, MD, MPH
• Alice Nassar, M.D.

• Chore Provider in Livonia, MI
• Providers in Livonia, MI by specialty
• Chore Provider in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.