Healthcare Provider Details

I. General information

NPI: 1871427716
Provider Name (Legal Business Name): AKEMBOM EMMANUEL NGEH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/27/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2221 SIDNEYWOOD DR APT 1
WEST CARROLLTON OH
45449-2674
US

IV. Provider business mailing address

2020 SIDNEYWOOD DR APT 2
WEST CARROLLTON OH
45449-2642
US

V. Phone/Fax

Practice location:
  • Phone: 937-361-9271
  • Fax:
Mailing address:
  • Phone: 937-361-9271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License NumberVU564798
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateOH
# 5
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number602990050425
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: