Shamso Jama Mohamed

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

4236 Lindell Blvd Ste 103
Saint Louis, MO 63108-2948

Phone

(314) 833-5760

Fax

(314) 833-5762

NPI assigned

Jan 12, 2016

Last updated

Jun 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Ace Home Care LLC.

  • Home Health Agency
  • Saint Louis, MO
  • NPI 1306206248
  NPD Authorized official
• Ace Home Care LLC.

  • In Home Supportive Care Agency
  • Saint Louis, MO
  • NPI 1457266199
  Authorized official Same address or phone

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1578929162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4236 LINDELL BLVD STE 103",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082948",
            "telephone_number": "314-833-5760",
            "fax_number": "314-833-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4236 LINDELL BLVD STE 103",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082948",
            "telephone_number": "314-833-5760",
            "fax_number": "314-833-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "SHAMSO",
        "middle_name": "JAMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-12",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamed Amin Mohamed
• Mohamed Mahgoub M a Mohamed, MD
• Nahla Mohamed Farid Mohamed
• Riham Elamin Elkhalifa Mohamed, M.B.B.S , M.SC.
• Shakir Mohamed, MD
• Ahmad W. Mohammadi, DO
• Amirhossein Mohammadian Bajgiran, MD
• Mehdi Mohammadifar
• Elham Mohammadyahya, MD
• Mohammed Z Siddiqui Medical Consulting LLC

• Home Health Aide in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Home Health Aide in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.

Verify at the official NPI Registry.