Individual provider Active NPI

Everlove Agyeiwaa

  • Attendant Care Provider
  • Reynoldsburg, OH
National Provider Identifier
1881464253
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
License
0262084 Issued in OH
Practice address
559 Postwoods Dr
Reynoldsburg, OH 43068-4823
Phone
(740) 571-3840
NPI assigned
Jan 5, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X 0262084 OH Primary

Addresses

Primary practice location

559 Postwoods Dr
Reynoldsburg, OH 43068-4823

Mailing address

559 Postwoods Dr
Reynoldsburg, OH 43068-4823
Phone (740) 571-3840

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
0262084OHMDAttendant Care Provider

NPI Registry JSON

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

{
    "created_epoch": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1881464253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 POSTWOODS DR",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430684823",
            "telephone_number": "740-571-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 POSTWOODS DR",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430684823",
            "telephone_number": "740-571-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGYEIWAA",
        "first_name": "EVERLOVE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "OH",
            "license": "0262084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.