Healthcare Provider Details

I. General information

NPI: 1477482859
Provider Name (Legal Business Name): JEAN-FRANCOIS KOUASSI KOUAKOU
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11365 KARY LN
CINCINNATI OH
45240-2332
US

IV. Provider business mailing address

11365 KARY LN
CINCINNATI OH
45240-2332
US

V. Phone/Fax

Practice location:
  • Phone: 313-918-5567
  • Fax:
Mailing address:
  • Phone: 313-918-5567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: