Ahjalee Xenobia Richard716

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1652004 Issued in NY

Practice address

26 Dumont Ave
Staten Island, NY 10305-1450

Phone

(718) 667-8511

NPI assigned

Oct 4, 2021

Sex

Female

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": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1396417820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 THATFORD AVE APT 5R",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112125969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 DUMONT AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051450",
            "telephone_number": "718-667-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARD716",
        "first_name": "AHJALEE",
        "middle_name": "XENOBIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1652004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Bodian, PT
• Richard Bodian,PT
• Richard Lapinsky
• Richard Rouder, DPM, PC
• Faith Richard, LPN
• Devan Nicole Richards, OTR
• Marling Richards, LCSW
• Monique Chanel Richards, M.D.
• Shemaiah Selah Richards, LPN
• Teresa Jessica Richards

• Home Health Agency in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.