Active NPI
Shafa Hassan
- Home Health Agency
- Dayton, OH
National Provider Identifier
1508307554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 3845644
- Practice address
- 4132 Linden Ave
Suit 307
Dayton, OH 45432-3935 - Phone
- (937) 830-0303
- Fax
- (937) 938-1220
- NPI assigned
- Mar 9, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 Agency | 251E00000X | 3845644 | OH | Primary |
Addresses
Primary practice location
4132 Linden Ave
Suit 307
Dayton, OH 45432-3935
Mailing address
4550 Foxton CT
Dayton, OH 45414-3935
Phone (937) 949-3272
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3845644 | OH | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Farrah Transportation Inc | Current | Accepting new patients | |
| Angels of Ohio | Home Health | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Non-emergency Medical Transport (VAN)
- Dayton, OH
- NPI 1366008229
-
- Home Health Agency
- Dayton, OH
- NPI 1275981391
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1508307554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4550 FOXTON CT",
"city": "DAYTON",
"state": "OH",
"postal_code": "454143935",
"telephone_number": "937-949-3272",
"fax_number": "937-938-1220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4132 LINDEN AVE",
"address_2": "SUIT 307",
"city": "DAYTON",
"state": "OH",
"postal_code": "454323935",
"telephone_number": "937-830-0303",
"fax_number": "937-938-1220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASSAN",
"first_name": "SHAFA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-09",
"last_updated": "2021-05-21",
"certification_date": "2020-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": "3845644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.