Mohamud Dallin

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Practice address

464 Industrial Mile Rd
Columbus, OH 43228-2411

Phone

(614) 332-4655

Fax

(614) 351-8351

NPI assigned

Sep 16, 2024

Last updated

Sep 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Golden Age Day Care Service

  • Adult Day Care Clinic/Center
  • Columbus, OH
  • NPI 1104037712
  NPD Authorized official
• Golden Age Services

  • Developmentally Disabled Services Day Training Agency
  • Columbus, OH
  • NPI 1104041839
  Authorized official Same address or phone
• Golden Age Home Health Service , LLC.

  • Home Health Agency
  • Columbus, OH
  • NPI 1932428570
  NPD
• Golden Age Day Care Service

  • Developmentally Disabled Services Day Training Agency
  • Columbus, OH
  • NPI 1851708713
  NPD (past)

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1184451155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 INDUSTRIAL MILE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432282411",
            "telephone_number": "614-332-4655",
            "fax_number": "614-351-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 INDUSTRIAL MILE RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432282411",
            "telephone_number": "614-332-4655",
            "fax_number": "614-351-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLIN",
        "first_name": "MOHAMUD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebonie Daley, MSW, LISW-S
• Aouaouche Dali
• Madison Dallas
• Ricya Dallas
• Verneitta Grace Dallas
• Diana Dallman, LMT
• Brian David Dalm, MD
• Dalmar Healthcare Services (Dalmar Home Healthcare)
• Susan Dalton-Miller, LPCC-S LICDC-S
• Kimberly Lynn Dalton, AGPCNP-BC

• Adult Day Care Clinic/Center in Columbus, OH
• Providers in Columbus, OH by specialty
• Adult Day Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.