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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KEN IBETO
NPI 1053807347
Home Health in Lithia Springs, GA

Active since July 10, 2018
7646 FOREST GLEN WAY, LITHIA SPRINGS, GA 30122(678) 637-6249(404) 393-4950 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ken Ibeto NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEN IBETO (NPI 1053807347) is an individual home health provider in Lithia Springs, Georgia, licensed in Georgia (048-R-2014) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1053807347
Entity TypeIndividualMale
Primary Taxonomy251E00000X
Provider Legal NameKEN IBETO
Location Address7646 FOREST GLEN WAYLithia Springs, GA 30122-6867
Mailing Address7646 Forest Glen WayLithia Springs, GA 30122-6867 · (678) 637-6249 · Fax (404) 393-4950
Phone(678) 637-6249
Fax(404) 393-4950
Sole ProprietorNo
Enumeration DateJuly 10, 2018
Last NPPES UpdateOctober 20, 2026
NPPES CertifiedOctober 20, 2026
✔ NPI 1053807347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in GA · 048-R-2014
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
7646 FOREST GLEN WAY, Lithia Springs, GA 30122
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Other Names 1

Professional Name (2)Kenechukwu Ikechukwu Ibeto

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ken Ibeto's NPI number?

The NPI number for Ken Ibeto is 1053807347. It was assigned to this individual provider in the NPPES registry on July 10, 2018. The provider is also known as Kenechukwu Ikechukwu Ibeto.

Where is Ken Ibeto located?

Ken Ibeto practices at 7646 Forest Glen Way, Lithia Springs, GA 30122. The listed phone number is (678) 637-6249.

What is Ken Ibeto's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Ken Ibeto was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.