Individual provider Active NPI

Abdallah Dallas Nayaha

  • In Home Supportive Care Agency
  • East Lansing, MI
National Provider Identifier
1528834082
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
1619752334 Issued in MI
Practice address
2444 E Saginaw St
East Lansing, MI 48823-9745
Phone
(517) 731-1220
NPI assigned
Nov 27, 2023
Last updated
Nov 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 1619752334 MI
In Home Supportive Care Agency 253Z00000X 1619752334 MI Primary

Addresses

Primary practice location

2444 E Saginaw St
East Lansing, MI 48823-9745

Mailing address

2444 E Saginaw St
East Lansing, MI 48823-9745
Phone (517) 731-1220

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
1619752334MIMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Nayaha Home Care LLC In Home Supportive Care CurrentSince Dec 3, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1528834082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2444 E SAGINAW ST",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488239745",
            "telephone_number": "517-731-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2444 E SAGINAW ST",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488239745",
            "telephone_number": "517-731-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYAHA",
        "first_name": "ABDALLAH",
        "middle_name": "DALLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "MI",
            "license": "1619752334",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MI",
            "license": "1619752334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

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