Individual provider Active NPI

Roselyne Nyangasi Amakobe

  • Home Health Aide
  • Wilmington, DE
National Provider Identifier
1972279693
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
DE000014731204 Issued in DE
Practice address
915 N Madison St Lowr Ground
Wilmington, DE 19801-1439
Phone
(302) 442-2232
NPI assigned
Aug 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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 DE000014731204 DE Primary

Addresses

Primary practice location

915 N Madison St Lowr Ground
Wilmington, DE 19801-1439

Mailing address

915 N Madison St Lowr Ground
Wilmington, DE 19801-1439
Phone (302) 442-2232

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address appointmens@wilmingtonvaccines.com Direct WILMINGTON VACCINES CORPORATION

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
DE000014731204DEMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmington Vaccines Corporation CurrentSince Aug 29, 2021 Accepting new patients

Locations

915 N Madison St
Lowr
Wilmington, DE 19801
Phone (302) 252-7279

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": "1629590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1972279693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N MADISON ST LOWR GROUND",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011439",
            "telephone_number": "302-442-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N MADISON ST LOWR GROUND",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198011439",
            "telephone_number": "302-442-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMAKOBE",
        "first_name": "ROSELYNE",
        "middle_name": "NYANGASI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-22",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DE",
            "license": "DE000014731204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "appointmens@wilmingtonvaccines.com",
            "affiliation": "Y",
            "endpointDescription": "Appointment Email",
            "affiliationName": "WILMINGTON VACCINES CORPORATION",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "915 N Madison St Lowr Ground",
            "city": "Wilmington",
            "state": "DE",
            "country_code": "US",
            "postal_code": "198011439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.