Active NPI
Sybil Nadirah Hameed
- Personal Care Attendant
- Warren, OH
National Provider Identifier
1124494075
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(2) exclusion effective Jul 18, 2019.
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- PN136935-M-IV
- Practice address
- 1420 4TH Dr SW Unit 1304
Warren, OH 44485-5809 - Phone
- (614) 632-9183
- NPI assigned
- Aug 14, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | PN136935-M-IV | OH | Primary |
Addresses
Primary practice location
1420 4TH Dr SW Unit 1304
Warren, OH 44485-5809
Mailing address
1420 4TH Dr SW Unit 1304
Warren, OH 44485-5809
Phone (614) 632-9183
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN136935-M-IV | OH | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439510400000",
"number": "1124494075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1420 4TH DR SW UNIT 1304",
"city": "WARREN",
"state": "OH",
"postal_code": "444855809",
"telephone_number": "614-632-9183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1420 4TH DR SW UNIT 1304",
"city": "WARREN",
"state": "OH",
"postal_code": "444855809",
"telephone_number": "614-632-9183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAMEED",
"first_name": "SYBIL",
"middle_name": "NADIRAH",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-14",
"last_updated": "2015-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "OH",
"license": "PN136935-M-IV",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warren, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.