Provider Demographics
NPI:1407477151
Name:AKWAABA CARE LLC
Entity Type:Organization
Organization Name:AKWAABA CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BOATENG
Authorized Official - Suffix:
Authorized Official - Credentials:CRNP
Authorized Official - Phone:914-356-3050
Mailing Address - Street 1:1450 EAST ST STE 7
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01201-5319
Mailing Address - Country:US
Mailing Address - Phone:413-728-9801
Mailing Address - Fax:833-989-2283
Practice Address - Street 1:1450 EAST ST STE 7
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:MA
Practice Address - Zip Code:01201-5319
Practice Address - Country:US
Practice Address - Phone:413-728-9801
Practice Address - Fax:833-989-2283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-05
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty