Tareq Abed Kadhim

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

GO9210 Issued in OH

Practice address

5696 Kilbury LN
Hilliard, OH 43026-8398

Phone

(614) 822-0763

Fax

(614) 522-3006

NPI assigned

Dec 7, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Home Finish Line LLC

  • Home Modifications Contractor
  • Hilliard, OH
  • NPI 1922778877
  NPD Authorized official

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1760140602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5696 KILBURY LN",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430268398",
            "telephone_number": "614-822-0763",
            "fax_number": "614-522-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5696 KILBURY LN",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430268398",
            "telephone_number": "614-822-0763",
            "fax_number": "614-522-3006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADHIM",
        "first_name": "TAREQ",
        "middle_name": "ABED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "OH",
            "license": "GO9210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine Lynn Jordan-Shtelen, MSW, LISW-S
• Shantel L Jordan, LPCC-S
• Joe R Joseph Jr., DDS
• Mason Juenger
• Praneetha Kadari, RPH
• Melissa Kalogeras, RPH
• Kevin Kane, PT
• Dong Hui Kang, MD
• Linda Kang
• Amblessed C Kanu Asiegbu

• Home Modifications Contractor in Hilliard, OH
• Providers in Hilliard, OH by specialty
• Home Modifications Contractor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.