1942544093 NPI number — HASHEM HEALTHCARE SERVICES, INC.

Table of content: (NPI 1932159571)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942544093 NPI number — HASHEM HEALTHCARE SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HASHEM HEALTHCARE SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942544093
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/15/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 151
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
STEM
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27581-0151
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-641-5722
Provider Business Mailing Address Fax Number:
919-603-1792

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
988 RED STONE CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROUGEMONT
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27572-9407
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-641-5722
Provider Business Practice Location Address Fax Number:
919-603-1792
Provider Enumeration Date:
11/15/2012

Additional Information

Authorized Official

Authorized Official Last Name:
MELTON
Authorized Official First Name:
TANYA
Authorized Official Middle Name:
DANIELLA
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
919-641-5722

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  HC3519 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 174H00000X , with the licence number: HC3519 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251300000X , with the licence number: HC3519 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X , with the licence number: HC3519 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 251F00000X , with the licence number: HC3519 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251G00000X , with the licence number: HC3519 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251J00000X , with the licence number: HC3519 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 253Z00000X , with the licence number: HC3519 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332B00000X , with the licence number: HC3519 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332U00000X , with the licence number: HC3519 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 343800000X , with the licence number: HC3519 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 343900000X , with the licence number: HC3519 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 6601585 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 3418248 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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