Active NPI
Tyjee Shakur Barrett Hobbs
- Home Health Aide
- Mansfield, OH
National Provider Identifier
1699239335
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Aug 20, 2025.
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 146 Buckeye Ave
Mansfield, OH 44906-2412 - Phone
- (419) 612-7244
- NPI assigned
- Jan 28, 2019
- 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 Aide | 374U00000X | Primary |
Addresses
Primary practice location
146 Buckeye Ave
Mansfield, OH 44906-2412
Mailing address
146 Buckeye Ave
Mansfield, OH 44906-2412
Phone (419) 612-7244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10716377 | 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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548633600000",
"number": "1699239335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 BUCKEYE AVE",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449062412",
"telephone_number": "419-612-7244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 BUCKEYE AVE",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449062412",
"telephone_number": "419-612-7244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRETT HOBBS",
"first_name": "TYJEE",
"middle_name": "SHAKUR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-28",
"last_updated": "2019-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10716377",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.