JOHN AFANTOUTSE AGBEKO (NPI# 1396200788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396200788 |
| Entity Type | Individual |
| Full Name | JOHN AFANTOUTSE AGBEKO |
| Practice Address |
4050 Gardella Ave Apt 327 Reno NV 89512-1034 |
| Practice Telephone | 7759546832 |
| Mailing Telephone | 7759546832 |
| Enumeration Date | 2019-02-10 |
| Last Update Date | 2019-02-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
4050 GARDELLA AVE APT 327 |
| City | RENO |
| State | NV |
| Zip Code | 89512-1034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316574064 | State of Nevada | Psychiatric Residential Treatment Facility | 2655 Enterprise Dr, Reno, NV 89512 | 2020-03-24 |
| 1730611690 | Ivette Velazquez | Behavior Technician | 1370 Haddock Dr., Reno, NV 89512 | 2017-03-30 |
| 1699221846 | Juan Castillo | Contractor | 2560 E 9th St, Reno, NV 89512 | 2016-08-28 |
| 1902280456 | Golden Valley Group Care II | Custodial Care Facility | 1140 Manhattan St, Reno, NV 89512 | 2015-07-15 |
| 1497180053 | Meghan Nicole Pefley | Physical Therapist | 2667 Enterprise Road, Reno, NV 89512 | 2013-09-13 |
| 1104136993 | St. Paul Homecare 1 | Assisted Living Facility | 1500 Manhattan St, Reno, NV 89512 | 2010-10-14 |
| 1184854424 | Pamela Sue Hill | Specialist | 1240 East 9th Street, West Hills Hospital, Reno, NV 89512 | 2009-07-21 |
| 1477790012 | Nevada Cvs Pharmacy, L.L.C. | Pharmacy | 2890 Northtowne Lane, Reno, NV 89512 | 2009-01-20 |
| 1235328006 | American Current Care Pa | Clinic/Center | 1530 E 6th Street, Reno, NV 89512 | 2007-10-17 |
| 1063539666 | Michael Robert Panicari | Preventive Medicine | 1530 E. 6th Street, Reno, NV 89512 | 2007-03-26 |
| Find all providers in zip 89512 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059107 | Marcy Lynn Combe | Technician | 11900 Chesapeake Dr, Reno, NV 89506-9495 | 2020-09-25 |
| 1821617192 | Nicholaus Brant Buchholz | Technician | 2800 Enterprise Rd Apt 612, Reno, NV 89512-1678 | 2020-04-15 |
| 1639720741 | Julie Keechler | Technician | 1165 El Campo Ct, Reno, NV 89521-4136 | 2019-09-20 |
| 1326691536 | Audrie Nash | Technician | 108 Lucky Ln, Reno, NV 89502-5922 | 2019-07-17 |
| 1538629928 | Jami D Mchenry | Technician | 1931 Morgan Rd, Reno, NV 89521-7458 | 2019-03-21 |
| 1942767173 | Derrick Wade Smith | Technician | 8670 Silver Shores Dr, Reno, NV 89506-2153 | 2019-02-24 |
| 1003339987 | Marisa Tailor Mullen | Technician | 502 Silversmith Pl, Reno, NV 89511-8148 | 2017-07-21 |
| 1356476642 | Wendy Gay Newman | Technician | 4045 Fairview Rd, Reno, NV 89511-6520 | 2007-02-23 |
| 1609494491 | Jason Parrilla Jr. | Technician | 502 Silversmith Pl, Reno, NV 89511-8148 | 2020-07-08 |
| 1053946046 | Erika Sara Gamel | Technician | 1855 Selmi Dr Apt G159, Reno, NV 89512-4767 | 2020-03-10 |
| Find all providers in RENO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.