Healthcare Provider Details

I. General information

NPI: 1467299784
Provider Name (Legal Business Name): ERNEST C OZONWANKWO CNA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2024
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1884 CHIMNEY LN APT 3D
DAYTON OH
45440-4116
US

IV. Provider business mailing address

1884 CHIMNEY LN APT 3D
DAYTON OH
45440-4116
US

V. Phone/Fax

Practice location:
  • Phone: 708-916-0844
  • Fax:
Mailing address:
  • Phone: 708-916-0844
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: