Organization Active NPI

Allied Senior Care LLC

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1114170610
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALLIED SENIOR CARE LLC
Practice address
3645 Stonecreek Blvd Unit E
Cincinnati, OH 45251-1469
Phone
(513) 687-0500
Fax
(513) 598-1107
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Authorized official

Name
Husam Hamed, MD
Title
President
Phone
(859) 759-0668

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X OH Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X KY
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

3645 Stonecreek Blvd Unit E
Cincinnati, OH 45251-1469

Mailing address

3645 Stonecreek Blvd Unit E
Cincinnati, OH 45251-1469
Phone (859) 759-0668

Other identifiers 3

IdentifierTypeStateIssuer
7100061030MedicaidKY
2879961MedicaidOH
7100086450MedicaidKY

National Provider Directory

National Provider Directory

Locations

7300 Woodspoint Dr
Florence, KY 41042
Phone (859) 371-5731

3645 Stone Creek Blvd
Unit E
Cincinnati, OH 45251
Phone (513) 377-7860

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1114170610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3645 STONECREEK BLVD UNIT E",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452511469",
            "telephone_number": "859-759-0668",
            "fax_number": "888-892-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 STONECREEK BLVD UNIT E",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452511469",
            "telephone_number": "513-687-0500",
            "fax_number": "513-598-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "HAMED",
        "authorized_official_first_name": "HUSAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "859-759-0668",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100061030",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2879961",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100086450",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.