Active NPI
Yusuf Olusesan Ibrahim
- Home Health Aide
- District Heights, MD
National Provider Identifier
1578070496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- HHA13354
- Practice address
- 7308 Donnell PL Apt D1
District Heights, MD 20747-4241 - Phone
- (240) 716-8999
- NPI assigned
- Dec 30, 2017
- Sex
- Male
- Sole proprietor
- No
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 Aide | 374U00000X | HHA13354 | DC | Primary |
Addresses
Primary practice location
7308 Donnell PL Apt D1
District Heights, MD 20747-4241
Mailing address
7308 Donnell PL Apt D1
District Heights, MD 20747-4241
Phone (240) 716-8999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| I-165-967-660-242 | Other | MD | DRIVER LICENCE |
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 |
|---|---|---|---|
| HHA13354 | DC | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1578070496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7308 DONNELL PL APT D1",
"city": "DISTRICT HEIGHTS",
"state": "MD",
"postal_code": "207474241",
"telephone_number": "240-716-8999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7308 DONNELL PL APT D1",
"city": "DISTRICT HEIGHTS",
"state": "MD",
"postal_code": "207474241",
"telephone_number": "240-716-8999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBRAHIM",
"first_name": "YUSUF",
"middle_name": "OLUSESAN",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-12-30",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "DC",
"license": "HHA13354",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENCE",
"identifier": "I-165-967-660-242",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in District Heights, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.