Individual provider Active NPI

Ibn Inusah Alhassan

  • Homemaker
  • Columbus, OH
National Provider Identifier
1093318255
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
License
2573502 Issued in OH
Practice address
2039 Place de la Concorde St S
Columbus, OH 43229-2734
Phone
(917) 683-6264
NPI assigned
Nov 19, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Homemaker 376J00000X 2573502 OH Primary

Addresses

Primary practice location

2039 Place de la Concorde St S
Columbus, OH 43229-2734

Mailing address

2039 Place de la Concorde St S
Columbus, OH 43229-2734
Phone (917) 683-6264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2573502OHMDHomemaker

NPI Registry JSON

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1093318255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2039 PLACE DE LA CONCORDE ST S",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292734",
            "telephone_number": "917-683-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2039 PLACE DE LA CONCORDE ST S",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292734",
            "telephone_number": "917-683-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALHASSAN",
        "first_name": "IBN INUSAH",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "OH",
            "license": "2573502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.