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Organization
412 DIRECT CARE LLC
Active
Organization
412 DIRECT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NCHIMA CHIBAYE CNP (CEO)
(412) 623-9101
Entity
Organization
Contact information
Practice address
1499 BRENTFIELD DR, WADSWORTH, OH 44281-6204
(412) 623-9101
Mailing address
1499 BRENTFIELD DR, WADSWORTH, OH 44281-6204
(412) 623-9101
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
163W00000X
Registered Nurse
—
NULL
163W00000X
Registered Nurse
—
—
202K00000X
Phlebology Physician
—
NULL
202K00000X
Phlebology Physician
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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