Individual provider Active NPI

Ugochukwu Vitalis Agunenye

  • Home Health Aide
  • Cincinnati, OH
National Provider Identifier
1902623945
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
4210 Endeavor Dr Unit 106
Cincinnati, OH 45252-2310
Phone
(513) 393-7909
NPI assigned
Sep 23, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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 Primary

Addresses

Primary practice location

4210 Endeavor Dr Unit 106
Cincinnati, OH 45252-2310

Mailing address

4210 Endeavor Dr Unit 106
Cincinnati, OH 45252-2310
Phone (513) 393-7909

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": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1902623945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 ENDEAVOR DR UNIT 106",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452522310",
            "telephone_number": "513-393-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 ENDEAVOR DR UNIT 106",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452522310",
            "telephone_number": "513-393-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGUNENYE",
        "first_name": "UGOCHUKWU",
        "middle_name": "VITALIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.