Leila Community Care

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

LEILA COMMUNITY CARE

Practice address

2940 Hebron Park Dr Ste 101
Hebron, KY 41048-9535

Phone

(859) 534-0914

Fax

(859) 534-0914

NPI assigned

Mar 22, 2022

Organization subpart

No

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

Authorized official

Name

Farduwsa Hassan, APRNNPI 1417623471

Title

Nurse Practitioner

Phone

(404) 943-0150

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Leila Urgent Care Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Farduwsa Hassan

  • Family Nurse Practitioner
  • Hebron, KY
  • NPI 1417623471
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1144979550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 HEBRON PARK DR STE 101",
            "city": "HEBRON",
            "state": "KY",
            "postal_code": "410489535",
            "telephone_number": "404-934-0150",
            "fax_number": "859-534-0914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 HEBRON PARK DR STE 101",
            "city": "HEBRON",
            "state": "KY",
            "postal_code": "410489535",
            "telephone_number": "859-534-0914",
            "fax_number": "859-534-0914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEILA COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "FARDUWSA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "404-943-0150",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H12-235-682",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leila Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teira Kuechler, BCBA
• Delaney Kuhlman, MS, LAT, ATC
• Jonathan Jay Langley, D.C.
• Stephan Laub, D.C.
• Alicia Anne Lavigne, BS
• Sharron Angeline Leonard, LPC
• Lindsey Moore Counseling, LLC
• Crystal Lynam
• Maddbran Solutions
• Meghan Markovich, M.D.

• Multi-Specialty Clinic/Center in Hebron, KY
• Providers in Hebron, KY by specialty
• Multi-Specialty Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.