Individual provider Active NPI

Ifeoma Anita Ojukwu

  • Personal Care Attendant
  • Manvel, TX
National Provider Identifier
1881294494
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
4511 Stone Ridge LN
Home
Manvel, TX 77578-2809
Phone
(510) 563-9285
NPI assigned
Nov 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X TX Primary

Addresses

Primary practice location

4511 Stone Ridge LN
Home
Manvel, TX 77578-2809

Mailing address

4511 Stone Ridge LN
Home
Manvel, TX 77578-2809
Phone (510) 563-9285

Other practice location 1

10440 South Dr Apt 506
Houston, TX 77099-2809
Phone (510) 563-9285

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL HOUSTON 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

Practice roles

OrganizationSpecialtyStatusNew patients
Angels of Goshen Healthcare Inc CurrentSince Jun 22, 2021 Accepting new patients
Healing Palm Global Healthcare Inc CurrentSince Mar 4, 2021 Accepting new patients

Organizations & group practices 2

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": "1604188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1881294494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4511 STONE RIDGE LN",
            "address_2": "HOME",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775782809",
            "telephone_number": "510-563-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 STONE RIDGE LN",
            "address_2": "HOME",
            "city": "MANVEL",
            "state": "TX",
            "postal_code": "775782809",
            "telephone_number": "510-563-9285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10440 South Dr Apt 506",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770992809",
            "country_code": "US",
            "telephone_number": "510-563-9285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OJUKWU",
        "first_name": "IFEOMA",
        "middle_name": "ANITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-01",
        "last_updated": "2021-02-01",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "HOUSTON",
            "affiliation": "N",
            "endpointDescription": "home",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "HOUSTON",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "HOUSTON",
            "address_1": "10440 South Dr Apt 506",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770992809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manvel, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2021; 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.