Organization Active NPI

Basma LLC

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Fitchburg, WI
National Provider Identifier
1609659432
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
Legal business name
BASMA LLC
Practice address
10 S Gardens Way
Fitchburg, WI 53711-7667
Phone
(608) 556-5281
NPI assigned
Aug 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Authorized official

Name
Abdiqadir A Mohamed
Title
Manager/Owner
Phone
(608) 556-5281

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X Primary

Addresses

Primary practice location

10 S Gardens Way
Fitchburg, WI 53711-7667

Mailing address

10 S Gardens Way
Fitchburg, WI 53711-7667
Phone (608) 556-5281

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1609659432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 S GARDENS WAY",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537117667",
            "telephone_number": "608-556-5281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 S GARDENS WAY",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537117667",
            "telephone_number": "608-556-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "ABDIQADIR",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "608-556-5281"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.