Habakkuk Ammishaddai
Individual provider Active NPI Case Manager/Care Coordinator · Aurora, CO
NPI 1407608151 · NPPES record last updated Apr 4, 2024
Key facts
- NPI
- 1407608151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1537 Alton St
Aurora, CO 80010-1712 - Phone
- (303) 923-2926
- NPI assigned
- Apr 4, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1537 Alton St
Aurora, CO 80010-1712
Mailing address
1290 Chambers Rd
Aurora, CO 80011-7117
Phone (303) 617-2300
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- Raed Ammari
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All providers in Aurora, CO · Case Manager/Care Coordinator in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.