Salad M Ismail

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

S649195558919 Issued in MN

Practice address

810 4TH Ave S Ste 204
Moorhead, MN 56560-2800

Phone

(612) 876-0814

NPI assigned

Sep 27, 2013

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

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1316374911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 4TH AVE S STE 204",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 4TH AVE S STE 204",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565602800",
            "telephone_number": "612-876-0814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISMAIL",
        "first_name": "SALAD",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "S649195558919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrity Care Services Inc
• Integrix Health, LLC
• Chelsea Irmen, DPT
• Denise R Ishaug
• Abdi Bile Ismail
• Dek Mohamed Iydid
• Nicholas Jackson
• Kristina Jacobs
• Benjamin Jacobson
• Mykaela Jacobson

• Home Health Agency in Moorhead, MN
• Providers in Moorhead, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.