Active NPIIndividual providerSole proprietor

Johnisha Keitazulu

Home Health in New Haven, Connecticut

NPI Number1396636577
Practice location
55 Oak Ridge Dr Apt 60, New Haven, CT 06513-1176
Fax
—
Last updated
July 14, 2025

Johnisha Keitazulu is a Home Health based in New Haven, CT. Johnisha Keitazulu practices in New Haven, CT. The NPI Number for Johnisha Keitazulu is 1396636577. The current practice location address for Johnisha Keitazulu is 55 Oak Ridge Dr Apt 60, New Haven, CT 06513-1176 and can be reached out via phone at 203-909-8564.

Provider Profile Details

NPI Number
1396636577
Provider Name
Johnisha Keitazulu
Provider Entity Type
Individual
Gender
Female
Address
55 Oak Ridge Dr Apt 60, New Haven, CT 06513-1176
Phone Number
203-909-8564
Primary Taxonomy
Home Health · 251E00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 14, 2025
Last Update Date
July 14, 2025
Certification Date
July 14, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Oak Ridge Dr Apt 60
New Haven, CT 06513-1176
Zip
06513-1176
Phone Number
203-909-8564
New Haven, CT 06513Get directions →

Provider Business Mailing Address Details

Address
55 Oak Ridge Dr Apt 60
New Haven, CT 06513-1176
City
New Haven
State
CT
Zip
06513-1176
Phone Number
203-909-8564

License Information

Taxonomy
Home Health · 251E00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Johnisha Keitazulu?

The NPI number of Johnisha Keitazulu is 1396636577. It was assigned on July 14, 2025 and is currently active in the NPPES registry.

What is the specialty of Johnisha Keitazulu?

Johnisha Keitazulu is registered under the primary taxonomy Home Health (code 251E00000X).

Where does Johnisha Keitazulu practice?

The practice location is 55 Oak Ridge Dr Apt 60, New Haven, CT 06513-1176. The office can be reached at 203-909-8564 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396636577 directly on the NPPES registry website.

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