Individual provider Active NPI

Bashir Awil Ateye

  • In Home Supportive Care Agency
  • Madison, WI
National Provider Identifier
1346949526
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
0019236 Issued in WI
Practice address
12 Westover CT
Madison, WI 53719-2201
Phone
(608) 504-1891
NPI assigned
Feb 27, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 0019236 WI Primary

Addresses

Primary practice location

12 Westover CT
Madison, WI 53719-2201

Mailing address

12 Westover CT
Madison, WI 53719-2201
Phone (608) 504-1891

Other identifiers 1

IdentifierTypeStateIssuer
882905822OtherIRS

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

State licenses

LicenseStateTypeSpecialty
0019236WIMDIn Home Supportive Care Agency

NPI Registry JSON

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1346949526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 WESTOVER CT",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192201",
            "telephone_number": "608-504-1891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 WESTOVER CT",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537192201",
            "telephone_number": "608-504-1891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATEYE",
        "first_name": "BASHIR",
        "middle_name": "AWIL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "WI",
            "license": "0019236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "882905822",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

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