Abdullahi M M Bashir

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

A224167200 Issued in MN

Practice address

1821 University Ave W Ste 294
Saint Paul, MN 55104-2897

Phone

(612) 245-5659

Fax

(763) 205-5617

NPI assigned

May 9, 2024

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

Locations

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

• Client Residential Care Inc

  • Home Health Agency
  • Saint Paul, MN
  • NPI 1205684750
  NPD

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

{
    "created_epoch": "1715212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1770331225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE 294",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042897",
            "telephone_number": "612-245-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 UNIVERSITY AVE W STE 294",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551042897",
            "telephone_number": "612-245-5659",
            "fax_number": "763-205-5617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "M BASHIR",
        "first_name": "ABDULLAHI",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-05-09",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MN",
            "license": "A224167200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynx, LLC (T.E.a.M.)
• Lisa Marie Lyons
• Nicole Lyons
• Kristen Marie Lyrek, M.A. CCC-SLP
• Kathleen Joan Lytle, LICSW
• Ashley M Williams
• Ree Ma
• Marlaine Grace Maahs, NTP
• Maalin Express LLC
• Matthew Maanum

• Home Health Aide in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Home Health Aide in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.