Mohamed Ame Mohamed, CNA

Primary specialty

Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X

License

CN0030085514 Issued in GA

Practice address

950 Harbins Rd NW Apt 534
Lilburn, GA 30047-5842

Phone

(678) 790-6122

NPI assigned

Apr 12, 2023

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

State licenses

Practice roles

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

• Careunityy LLC

  • Home Health Aide
  • Lilburn, GA
  • NPI 1568355204
  NPD Authorized official

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1194411249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 HARBINS RD NW APT 534",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300475842",
            "telephone_number": "678-790-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 HARBINS RD NW APT 534",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300475842",
            "telephone_number": "678-790-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "MOHAMED",
        "middle_name": "AME",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "GA",
            "license": "CN0030085514",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miracle Hands Home Care Agency LTD
• Palwasha Mirza
• Nicola Bridgette Mitchell-Harvey, FNP-C
• Juliet C Moghalu
• Abubakar Mohamed
• Salaado Mohamud
• Almas Soyal Momin, FNP-C
• Monira M Uddin D.D.S., P.C.
• Dyeseah Irene Montgomery
• Maxine B Moore, RD, LD

• Pediatric Skilled Nursing Facility in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Pediatric Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.