Active NPI
Atef Dabbech, SOLE PROPRIETOR
- Home Health Aide
- Boca Raton, FL
National Provider Identifier
1831818673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 238408
- Practice address
- 3401 N Federal Hwy Ste 201
Boca Raton, FL 33431-6005 - Phone
- (561) 200-3904
- NPI assigned
- Aug 24, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 238408 | FL | Primary |
Addresses
Primary practice location
3401 N Federal Hwy Ste 201
Boca Raton, FL 33431-6005
Mailing address
3401 N Federal Hwy Ste 201
Boca Raton, FL 33431-6005
Phone (561) 200-3904
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 903287 | Medicaid | FL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238408 | FL | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661299200000",
"number": "1831818673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 N FEDERAL HWY STE 201",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316005",
"telephone_number": "561-200-3904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 N FEDERAL HWY STE 201",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316005",
"telephone_number": "561-200-3904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DABBECH",
"first_name": "ATEF",
"name_prefix": "Mr.",
"credential": "SOLE PROPRIETOR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-24",
"last_updated": "2022-08-24",
"certification_date": "2022-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "FL",
"license": "238408",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "903287",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.