Active NPI
James Njuguna
- Attendant Care Provider
- Granger, IN
National Provider Identifier
1992379291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- License
- 21-015036-1
- Practice address
- 51693 Waterford LN
Granger, IN 46530-7610 - Phone
- (574) 210-8569
- NPI assigned
- May 19, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | 21-015036-1 | IN | Primary |
Addresses
Primary practice location
51693 Waterford LN
Granger, IN 46530-7610
Mailing address
51693 Waterford LN
Granger, IN 46530-7610
Phone (574) 210-8569
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21-015036-1 | IN | MD | Attendant Care Provider |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Homehealth Care Services, LLC | Current | Accepting new patients |
Locations
320 N Lafayette Blvd
South Bend, IN 46601
Phone (574) 386-2090
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
- South Bend, IN
- NPI 1962360487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1992379291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51693 WATERFORD LN",
"city": "GRANGER",
"state": "IN",
"postal_code": "465307610",
"telephone_number": "574-210-8569"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51693 WATERFORD LN",
"city": "GRANGER",
"state": "IN",
"postal_code": "465307610",
"telephone_number": "574-210-8569"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NJUGUNA",
"first_name": "JAMES",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-19",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": "IN",
"license": "21-015036-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Granger, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.