Individual provider Active NPI

Amal Haji

  • Home Health Clinical Nurse Specialist
  • Cincinnati, OH
National Provider Identifier
1700538105
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Clinical Nurse SpecialistTaxonomy code 364SH0200X
License
0000000 Issued in OH
Practice address
2852 Boudinot Ave Ste 105
Cincinnati, OH 45238-2461
Phone
(513) 818-8378
Fax
(513) 880-0240
NPI assigned
Jan 26, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Clinical Nurse Specialist 364SH0200X 0000000 OH Primary

Addresses

Primary practice location

2852 Boudinot Ave Ste 105
Cincinnati, OH 45238-2461

Mailing address

2852 Boudinot Ave Ste 101
Cincinnati, OH 45238-2461
Phone (513) 818-8378

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

LicenseStateTypeSpecialty
0000000OHMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Above and Beyond Healthcare Services LLC CurrentSince Mar 12, 2024 Accepting new patients

Locations

2852 Boudinot Ave
Ste 101
Cincinnati, OH 45238
Phone (513) 818-8378

4889 Sinclair Rd
Ste 105
Columbus, OH 43229
Phone (614) 324-0461

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1700538105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2852 BOUDINOT AVE STE 101",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452382461",
            "telephone_number": "513-818-8378",
            "fax_number": "513-880-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2852 BOUDINOT AVE STE 105",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452382461",
            "telephone_number": "513-818-8378",
            "fax_number": "513-880-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAJI",
        "first_name": "AMAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2024-03-07",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SH0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": "OH",
            "license": "0000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.