Provider Demographics
NPI:1417740499
Name:GHANUBA CARE
Entity type:Organization
Organization Name:GHANUBA CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KINGSLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNIE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:404-454-4631
Mailing Address - Street 1:2080 W RIDGE RD STE 2
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-2725
Mailing Address - Country:US
Mailing Address - Phone:585-837-2137
Mailing Address - Fax:585-837-2139
Practice Address - Street 1:2080 W RIDGE RD STE 2
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-2725
Practice Address - Country:US
Practice Address - Phone:585-837-2137
Practice Address - Fax:585-837-2139
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care