MEDICARE: CHIKERE NWAGBARA HHA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1699381046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHIKERE NWAGBARA HHA

Provider Business Mailing Address
First Line	:	6604 E 100TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64134-1514
Country	:	US
Telephone Number	:	314-629-2750
Fax Number	:	816-737-3090

Provider Business Practice Location Address
First Line	:	6604 E 100TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64134-1514
Country	:	US
Telephone Number	:	314-629-2750
Fax Number	:	816-737-3090

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2020
Last Update Date	:	09/21/2020

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