Provider Demographics
NPI:1619755980
Name:AMANKWAH, RICHARD (MBA)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:AMANKWAH
Suffix:
Gender:M
Credentials:MBA
Other - Prefix:
Other - First Name:RICHARD
Other - Middle Name:
Other - Last Name:ASARE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2600 TILLER LN STE C5
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-2264
Mailing Address - Country:US
Mailing Address - Phone:614-556-6978
Mailing Address - Fax:
Practice Address - Street 1:2600 TILLER LN # C5
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-2264
Practice Address - Country:US
Practice Address - Phone:347-654-0706
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-18
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No374U00000XNursing Service Related ProvidersHome Health Aide