Active NPI
Hayder Abduljabbar
- Home Health Aide
- Rochester, MN
National Provider Identifier
1346010550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 1903 Broadway Ave S
Rochester, MN 55904-7924 - Phone
- (507) 316-7007
- NPI assigned
- Jan 8, 2024
- Last updated
- Jan 8, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
1903 Broadway Ave S
Rochester, MN 55904-7924
Mailing address
4118 2ND PL NW
Rochester, MN 55901-7594
Phone (507) 316-7007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1346010550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4118 2ND PL NW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559017594",
"telephone_number": "507-316-7007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1903 BROADWAY AVE S",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559047924",
"telephone_number": "507-316-7007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABDULJABBAR",
"first_name": "HAYDER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-08",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.