Individual provider · NPI-1

Hasan A Abdushahid

Community/Behavioral Health · Charlotte, NC

NPI number1093584658
StatusActive
Last updated in NPPESMay 6, 2025

Details

NPI
1093584658
Entity type
Individual (NPI-1)
Name
Hasan A Abdushahid
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 25, 2023
Certification date
Apr 24, 2025
Last updated
May 6, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes
171M00000X Case Manager/Care Coordinator––
251C00000X Day Training, Developmentally Disabled Services––
372500000X Chore Provider––
101YM0800X Counselor, Mental Health––
106S00000X Behavior Technician––
372600000X Adult Companion––
373H00000X Day Training/Habilitation Specialist––
3747P1801X Technician, Personal Care Attendant––
376K00000X Nurse's Aide––
374U00000X Home Health Aide––
376J00000X Homemaker––

Practice location

1914 J N Pease Pl
Charlotte, NC 28262-4504

Phone 980-229-8303

Mailing address

10216 Chatham Run Ln
Charlotte, NC 28262-3075

Phone 980-229-8303

Other practice locations

10216 Chatham Run Ln
Charlotte, NC 28262-3075

Phone 980-229-8303

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