Joseph Charles Boustani

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

400656670807 Issued in OH

Practice address

3223 Daisy Ave
Cleveland, OH 44109-2110

Phone

(440) 930-8861

NPI assigned

Sep 8, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1306393236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23855 DAVID DR UNIT 102",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440702904",
            "telephone_number": "440-723-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 DAISY AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441092110",
            "telephone_number": "440-930-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUSTANI",
        "first_name": "JOSEPH",
        "middle_name": "CHARLES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-08",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "OH",
            "license": "400656670807",
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toby Bourisseau, CNS
• Lynn Bourque, LSW
• Nicholas Bourque
• Rany Bous, BDS
• Lea Bouserhal
• Antoine Boustany, MD
• Michel Boustany, MD
• Scott M Bouton, MD
• Amir Boutros
• Christina Boutros, DO

• Home Health Aide in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Home Health Aide in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.