Constance Bue'Lynn Shakoor
Home Health Aide in Youngstown, OH. Individual provider (NPI-1).
NPI number1760013601
StatusActive
Last updated in NPPESJan 29, 2020
Details
- NPI
- 1760013601
- Entity type
- Individual (NPI-1)
- Name
- Constance Bue'Lynn Shakoor
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 29, 2020
- Certification date
- Jan 29, 2020
- Last updated
- Jan 29, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- Excluded since Jan 18, 2024 (1128a1)
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
| 376K00000X | Nurse's Aide | – | – |
Practice location
44 Hilton AveYoungstown, OH 44507-2002
Phone 330-881-8278
Mailing address
44 Hilton AveYoungstown, OH 44507-2002
Phone 330-881-8278
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 568 Home Health Aide providers in Youngstown · All 6,143 providers in Youngstown
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