Provider Demographics
NPI:1215763677
Name:ALONDI, EMMANUEL ANUASHINE
Entity type:Individual
Prefix:
First Name:EMMANUEL
Middle Name:ANUASHINE
Last Name:ALONDI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:948 SANCTUARY VIEW DR
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-7573
Mailing Address - Country:US
Mailing Address - Phone:330-926-8579
Mailing Address - Fax:
Practice Address - Street 1:948 SANCTUARY VIEW DR
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-7573
Practice Address - Country:US
Practice Address - Phone:330-926-8579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X, 253Z00000X, 347C00000X, 372600000X, 385H00000X
OHRN.501711251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
No347C00000XTransportation ServicesPrivate Vehicle
No372600000XNursing Service Related ProvidersAdult Companion
No385H00000XRespite Care FacilityRespite Care