Sumaina Ibrahim

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

SUMAINA IBRAHIM

Practice address

2610 W Marshall Dr Ste 4
Grand Prairie, TX 75051-3540

Phone

(972) 206-7772

Fax

(972) 206-7774

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Sumaina Sanu Ibrahim, BBA, MPA

Title

Owner

Phone

(817) 714-2262

Specialties & licenses 1

Addresses

Other names 1

• ZENA HOME CARE Doing business as

Locations

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1801946389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 W MARSHALL DR STE 4",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750513540",
            "telephone_number": "972-206-7772",
            "fax_number": "972-206-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 W MARSHALL DR STE 4",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750513540",
            "telephone_number": "972-206-7772",
            "fax_number": "972-206-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMAINA IBRAHIM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "SUMAINA",
        "authorized_official_middle_name": "SANU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-714-2262",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BBA, MPA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ZENA HOME CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Care Home Facility in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Adult Care Home Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.