Active NPI
Kwadwo A Yeboah
- Home Health Aide
- Wethersfield, CT
National Provider Identifier
1982292090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 786 Silas Deane Hwy
Wethersfield, CT 06109-3071 - Phone
- (860) 785-8162
- NPI assigned
- Jan 5, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
786 Silas Deane Hwy
Wethersfield, CT 06109-3071
Mailing address
786 Silas Deane Hwy
Wethersfield, CT 06109-3071
Phone (860) 785-8162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 058471590 | Other | CT | HOME CARE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A1 Husky Mart LLC Dba Good Faith Care Inc. | Current | Accepting new patients |
Locations
786 Silas Deane Hwy
Wethersfield, CT 06109
Phone (860) 785-8162
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.
-
- Home Health Agency
- Wethersfield, CT
- NPI 1407447105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642377600000",
"number": "1982292090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "786 SILAS DEANE HWY",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061093071",
"telephone_number": "860-785-8162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "786 SILAS DEANE HWY",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061093071",
"telephone_number": "860-785-8162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEBOAH",
"first_name": "KWADWO",
"middle_name": "A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-05",
"last_updated": "2022-01-17",
"certification_date": "2022-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME CARE",
"identifier": "058471590",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wethersfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.