Habba Home Care

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HABBA HOME CARE

Practice address

4405 Sandpiper LN
Antioch, TN 37013-2252

Phone

(615) 930-7606

NPI assigned

May 27, 2022

Last updated

May 27, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nyemba Muluila

Title

Owner

Phone

(615) 930-7606

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653609600000",
    "number": "1710626809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 SANDPIPER LN",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 SANDPIPER LN",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132252",
            "telephone_number": "615-930-7606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HABBA HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-27",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-27",
        "status": "A",
        "authorized_official_last_name": "MULUILA",
        "authorized_official_first_name": "NYEMBA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-930-7606"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1000000026777",
            "identifier": "LICENSE",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "habbahomecare@gmail.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "habbahomecare@gmail.com",
            "address_1": "4405 Sandpiper Ln",
            "city": "Antioch",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370132252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.