Provider Demographics
NPI:1508636234
Name:ONYEKA, HYACINTH OKEY
Entity Type:Individual
Prefix:
First Name:HYACINTH
Middle Name:OKEY
Last Name:ONYEKA
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 1:4887 NORTHGATE CT
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45416-1126
Mailing Address - Country:US
Mailing Address - Phone:937-272-0506
Mailing Address - Fax:
Practice Address - Street 1:4887 NORTHGATE CT
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45416-1126
Practice Address - Country:US
Practice Address - Phone:937-272-0506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty