Ifeoma Nsonwu
In Home Supportive Care in Fairburn, GA. Individual provider (NPI-1).
NPI number1023907102
StatusActive
Last updated in NPPESJul 2, 2025
Details
- NPI
- 1023907102
- Entity type
- Individual (NPI-1)
- Name
- Ifeoma Nsonwu
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 2, 2025
- Certification date
- Jul 2, 2025
- Last updated
- Jul 2, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | PHCP043071 | GA | Yes |
| 251E00000X | Home Health | PHCP043071 | GA | |
| 251J00000X | Nursing Care | PHCP043071 | GA | |
| 364SH0200X | Clinical Nurse Specialist, Home Health | PHCP043071 | GA |
Practice location
6523 Foggy Oak DrFairburn, GA 30213-7411
Phone 857-221-2209
Mailing address
6523 Foggy Oak DrFairburn, GA 30213-7411
Phone 857-221-2209
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 13 In Home Supportive Care Agency providers in Fairburn · All 436 providers in Fairburn
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