Individual provider Active NPI

Georges Doh Eklou, REGISTERED NURSE

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1902462161
Registry record updated May 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
1433 E Franklin Ave Ste 1
Minneapolis, MN 55404-2101
Phone
(612) 343-4004
Fax
(612) 343-4007
NPI assigned
May 14, 2019
Last updated
May 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1433 E Franklin Ave Ste 1
Minneapolis, MN 55404-2101

Mailing address

1433 E Franklin Ave Ste 1
Minneapolis, MN 55404-2101
Phone (612) 343-4004

Other identifiers 1

IdentifierTypeStateIssuer
2425780OtherMNMN BOARD OF NURSING

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

NPI Registry JSON

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

{
    "created_epoch": "1557792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1902462161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 E FRANKLIN AVE STE 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042101",
            "telephone_number": "612-343-4004",
            "fax_number": "612-343-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 E FRANKLIN AVE STE 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042101",
            "telephone_number": "612-343-4004",
            "fax_number": "612-343-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKLOU",
        "first_name": "GEORGES",
        "middle_name": "DOH",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-14",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN BOARD OF NURSING",
            "identifier": "2425780",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.