Individual provider Active NPI

Roger Sambu Pfingu

  • Personal Care Attendant
  • Fairfield Township, OH
National Provider Identifier
1922830645
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
VB604751 Issued in OH
Practice address
4183 Continental Dr
Fairfield Township, OH 45011-3791
Phone
(513) 400-2079
NPI assigned
Aug 20, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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 VB604751 OH Primary

Addresses

Primary practice location

4183 Continental Dr
Fairfield Township, OH 45011-3791

Mailing address

4183 Continental Dr
Fairfield Township, OH 45011-3791
Phone (513) 400-2079

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
VB604751OHMDPersonal Care Attendant

Practice roles

OrganizationSpecialtyStatusNew patients
Victorine Health Care LLC CurrentSince Aug 25, 2024 Accepting new patients

Organizations & group practices 1

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": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1922830645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4183 CONTINENTAL DR",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450113791",
            "telephone_number": "513-400-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4183 CONTINENTAL DR",
            "city": "FAIRFIELD TOWNSHIP",
            "state": "OH",
            "postal_code": "450113791",
            "telephone_number": "513-400-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFINGU",
        "first_name": "ROGER",
        "middle_name": "SAMBU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "OH",
            "license": "VB604751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield Township, OH

Sources for this page

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