Organization Active NPI

Shahidah's Care Agency LLC.

  • Nursing Care Agency
  • Atlanta, GA
National Provider Identifier
1609530989
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
SHAHIDAH'S CARE AGENCY LLC.
Practice address
1279 Allene Ave SW
Atlanta, GA 30310-4242
Phone
(347) 325-8813
NPI assigned
Oct 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

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

Authorized official

Name
Muminah Rashid
Title
President
Phone
(470) 502-3444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

1279 Allene Ave SW
Atlanta, GA 30310-4242

Mailing address

1279 Allene Ave SW
Atlanta, GA 30310-4242
Phone (347) 325-8813

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1634947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635897600000",
    "number": "1609530989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1279 ALLENE AVE SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303104242",
            "telephone_number": "347-325-8813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1279 ALLENE AVE SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303104242",
            "telephone_number": "347-325-8813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHIDAH'S CARE AGENCY LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-23",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A",
        "authorized_official_last_name": "RASHID",
        "authorized_official_first_name": "MUMINAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "470-502-3444"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.