Kasharel Forrest

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

1504 Callaway Loop
Conyers, GA 30012-3670

Phone

(574) 300-1282

NPI assigned

Nov 28, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Extraordinary Hand Over Hands Associates (Ehoha) LLC

  • Home Health Agency
  • Conyers, GA
  • NPI 1326814005
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1701129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701561600000",
    "number": "1063288454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 CALLAWAY LOOP",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123670",
            "telephone_number": "574-300-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 CALLAWAY LOOP",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123670",
            "telephone_number": "574-300-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORREST",
        "first_name": "KASHAREL",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-28",
        "last_updated": "2023-12-03",
        "certification_date": "2023-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Fombutu, PHARM D
• Foot and Ankle Institute of Georgia (The Foot and Ankle Institute of Georgia)
• Foot and Ankle Reconstruction Center of Georgia LLC
• Brittany Forbes
• Jennifer Krasevec Ford, RD
• Fortin Chiropractic & Athletic Health Care Center
• Daniel Patric Fortin, DC
• Antionette Foster
• Brittany Foster
• Lemere Foster

• Home Health Aide in Conyers, GA
• Providers in Conyers, GA by specialty
• Home Health Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.