Kareem Abdullah
Individual provider Active NPI Home Health Aide · Chandler, AZ
NPI 1487180451 · NPPES record last updated Jun 6, 2024
Key facts
- NPI
- 1487180451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- License
- AZCG09090 (AZ)
- Practice address
- 264 N Exeter St
Chandler, AZ 85225-4657 - Phone
- (602) 706-4405
- NPI assigned
- May 11, 2017
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AZCG09090 | AZ | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Quality Senior Care and Consulting,LLC | Behavior Technician | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Chore Provider | 372500000X | |||
| Adult Companion | 372600000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Home Health Aide | 374U00000X | AZCG09090 | AZ | Yes |
Addresses
Primary practice location
264 N Exeter St
Chandler, AZ 85225-4657
Mailing address
264 N Exeter St
Chandler, AZ 85225-4657
Phone (602) 706-4405
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 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.