Umar Tebuseke

Individual provider Active NPI Home Health Registered Nurse · Shirley, MA

NPI 1790609683 · NPPES record last updated Aug 5, 2026

Key facts

NPI
1790609683
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Registered Nurse 163WH0200X
License
RN2371649 (MA)
Practice address
73 Harvard Rd
Shirley, MA 01464-2437
Phone
(857) 249-1588
NPI assigned
Aug 5, 2026
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X RN2371649 MA
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RN2371649 MA
Home Health Registered Nurse
Group: 193200000X MULTI-SPECIALTY GROUP
163WH0200X RN2371649 MA Yes

Addresses

Primary practice location

73 Harvard Rd
Shirley, MA 01464-2437

Mailing address

73 Harvard Rd
Shirley, MA 01464-2437
Phone (857) 249-1588

Other providers in Shirley, MA

All providers in Shirley, MA · Home Health Registered Nurse in Massachusetts

Sources for this page

Verify at the official NPI Registry.