Individual provider Active NPI

Atef Dabbech, SOLE PROPRIETOR

  • Home Health Aide
  • Boca Raton, FL
National Provider Identifier
1831818673
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
238408 Issued in FL
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

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
903287MedicaidFL

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

LicenseStateTypeSpecialty
238408FLMDHome 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.

Verify at the official NPI Registry.