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NPI 1093584658 · live from the CMS NPI Registry

Hasan A Abdushahid

Community/Behavioral Health in Charlotte, NC. National Provider Identifier 1093584658, active.

NPI record

NPI1093584658 Type 1 · individual
StatusActive
Primary specialtyCommunity/Behavioral Health 251S00000X
Practice location1914 J N Pease Pl, Charlotte, NC 28262
Practice phone980-229-8303
Mailing address10216 Chatham Run Ln, Charlotte, NC 28262
EnumeratedDecember 25, 2023
Last updatedMay 6, 2025
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator171M00000X—
Day Training, Developmentally Disabled Services251C00000X—
Chore Provider372500000X—
Counselor, Mental Health101YM0800X—
Behavior Technician106S00000X—
Adult Companion372600000X—
Day Training/Habilitation Specialist373H00000X—
Technician, Personal Care Attendant3747P1801X—
Nurse's Aide376K00000X—
Community/Behavioral Health primary251S00000X—
Home Health Aide374U00000X—
Homemaker376J00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.