Hazel Samuel, OWNER

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

383716007 Issued in MI

Practice address

5050 Bosuns Way
A4
Ypsilanti, MI 48197-6708

Phone

(734) 829-8627

NPI assigned

Oct 22, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256169600000",
    "number": "1972839124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 BOSUNS WAY",
            "address_2": "A4",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481976708",
            "telephone_number": "734-829-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 BOSUNS WAY",
            "address_2": "A4",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481976708",
            "telephone_number": "734-829-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "HAZEL",
        "name_prefix": "Mrs.",
        "credential": "OWNER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MI",
            "license": "383716007",
            "primary": true
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "MI",
            "license": "383716007",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hiba Samaha, MD
• Aayush Sambhara, MD
• Abigail Sampson, DO
• Sams East Inc
• Kristina Samu, NP
• Sana Sana Psychotherapy
• Camille Sanchez
• Alyssa Sanders Rios, PA-C
• Celestine A Sanders, CSW
• Edward Sanders

• Home Health Aide in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Home Health Aide in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.