Hasan A Abdushahid
Individual provider Active NPI Community/Behavioral Health Agency · Charlotte, NC
NPI 1093584658 · NPPES record last updated May 6, 2025
Key facts
- NPI
- 1093584658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Practice address
- 1914 J N Pease PL
Charlotte, NC 28262-4504 - Phone
- (980) 229-8303
- NPI assigned
- Dec 25, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natural Support Services | Mental Health | Current |
Accepting new patients |
| Boondock Express | Mental Health | Current |
Accepting new patients |
Locations
1914 J N Pease Pl
Charlotte, NC 28262
Phone (704) 754-8718
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Chore Provider | 372500000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Behavior Technician | 106S00000X | |||
| Adult Companion | 372600000X | |||
| Day Training/Habilitation Specialist | 373H00000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Nurse's Aide | 376K00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Yes | ||
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X |
Addresses
Primary practice location
1914 J N Pease PL
Charlotte, NC 28262-4504
Mailing address
10216 Chatham Run LN
Charlotte, NC 28262-3075
Phone (980) 229-8303
Other practice location 1
10216 Chatham Run Ln
Charlotte, NC 28262-3075
Phone (980) 229-8303
Other providers in Charlotte, NC
- Abc Medical Supply, Inc
- Rayanne Bakri Abdelaziz
- Hassan Abdelrahman
- Mahmoud Abdelmageed Abdelrazek
- Diana Abdullayeva
- Rafsanjani Ibn Abdushahid
- Matthew Clark Abel
- Melinda Emery Abercrombie
- Christopher Abernathy
- Elizabeth Abernathy
All providers in Charlotte, NC · Community/Behavioral Health Agency in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.