Active NPI
Farshad Hosseini
- Case Manager/Care Coordinator
- Fort Mill, SC
National Provider Identifier
1770040073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 105 Stone Village Dr
Fort Mill, SC 29708-6489 - Phone
- (803) 548-2610
- NPI assigned
- Feb 23, 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Religious Nonmedical Practitioner | 374K00000X | |||
| Case Manager/Care Coordinator | 171M00000X | Primary | ||
| Professional Counselor | 101YP2500X | |||
| Reflexologist | 173C00000X | |||
| Health Educator | 174H00000X |
Addresses
Primary practice location
105 Stone Village Dr
Fort Mill, SC 29708-6489
Mailing address
2764 Pleasant Rd # 11605
Fort Mill, SC 29708-7213
Phone (877) 293-7770
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core I Med LLC | Past | Accepting new patients |
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.
-
- Electrodiagnostic Medicine Physician
- Fort Mill, SC
- NPI 1912556598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550880000000",
"number": "1770040073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2764 PLEASANT RD # 11605",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297087213",
"telephone_number": "877-293-7770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 STONE VILLAGE DR",
"city": "FORT MILL",
"state": "SC",
"postal_code": "297086489",
"telephone_number": "803-548-2610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSSEINI",
"first_name": "FARSHAD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-02-23",
"last_updated": "2019-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "374K00000X",
"taxonomy_group": "",
"desc": "Religious Nonmedical Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Mill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.