Active NPI
Abdirashid Mohamed
- Home Health Agency
- Columbus, OH
National Provider Identifier
1639426547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 0061385
- Practice address
- 1425 E Dublin Granville Rd
209
Columbus, OH 43229-3325 - Phone
- (614) 396-7575
- NPI assigned
- Aug 9, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 Agency | 251E00000X | 0061385 | OH | Primary |
Addresses
Primary practice location
1425 E Dublin Granville Rd
209
Columbus, OH 43229-3325
Mailing address
1425 E Dublin Granville Rd
209
Columbus, OH 43229-3325
Phone (614) 396-7575
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0060218 | Medicaid | OH | |
| 0061385 | Medicaid | OH |
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 |
|---|---|---|---|
| 0061385 | OH | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344470400000",
"number": "1639426547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 E DUBLIN GRANVILLE RD",
"address_2": "209",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432293325",
"telephone_number": "614-396-7575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 E DUBLIN GRANVILLE RD",
"address_2": "209",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432293325",
"telephone_number": "614-396-7575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOHAMED",
"first_name": "ABDIRASHID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-09",
"last_updated": "2012-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OH",
"license": "0061385",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0060218",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0061385",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.