HASSAN JOHNSON


Address: 7630 E 79th St Unit 702, Kansas City, MO 64138-1453
Phone: 8329974539

HASSAN JOHNSON (NPI# 1104339365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104339365
Entity Type Individual
Full Name HASSAN JOHNSON
Practice Address 7630 E 79th St Unit 702
Kansas City
MO 64138-1453
Practice Telephone 8329974539
Enumeration Date 2017-11-09
Last Update Date 2020-09-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 373H00000X Day Training/Habilitation Specialist Nursing Service Related Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3600 College Park Dr Apt 5301, The Woodlands, TX 773844681 8329974539

Office Location

Street Address 7630 E 79TH ST UNIT 702
City KANSAS CITY
State MO
Zip Code 64138-1453

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1780178160 Rachel Katherine Volmert Social Worker 8800 Blueridge, Kansas City, MO 64138 2018-06-19
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1891003927 Marriah Smith Adult Companion 4705 E 109th Terr, Kansas City, MO 64138 2010-09-23
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1598935710 Alex Heydar Motaref Dmd PC Dentist 6406 E 87th Street, Suite 101, Kansas City, MO 64138 2008-03-04
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Taxonomy Information

Taxonomy Code 373H00000X
Grouping Nursing Service Related Providers
Classification Day Training/Habilitation Specialist

Taxonomy Definition

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1407481518 Bilal Malik Shabazz Day Training/Habilitation Specialist 113 Link Dr, Sikeston, MO 63801-5132 2020-03-09
1689131880 Community Connections Stl LLC Day Training/Habilitation Specialist 225 Stage Coach Landing Dr, Saint Peters, MO 63376-4210 2019-02-23
1568946978 Jennifer Dean Green Day Training/Habilitation Specialist 523 2nd St E, Scott City, MO 63780-2418 2018-09-20
1730578832 Vernita Lewis Day Training/Habilitation Specialist 126 Flora Dr, Saint Louis, MO 63135-1025 2015-01-13
1548460934 Doris Rean Smith Day Training/Habilitation Specialist 211 E Excelsior St Apt 2, Excelsior Springs, MO 64024-2264 2007-07-23
1679691117 Humble Hearts Care Service Day Training/Habilitation Specialist 652 State Rd M, Conway, MO 65632 2007-03-26
1245370808 Covenant Care Services, LLC Day Training/Habilitation Specialist 120 S Mine La Motte St, Fredericktown, MO 63645-1229 2007-02-06
1851429807 Four Seasons In Home Services, LLC Day Training/Habilitation Specialist 712 S Montgomery Ave, Sedalia, MO 65301-4654 2007-03-01
1134257181 Four Seasons In Home Services,llc Day Training/Habilitation Specialist 712 S Montgomery Ave, Sedalia, MO 65301-4654 2007-03-01
1770618274 James Mitchell Germann Day Training/Habilitation Specialist 1102 Lakeview Ct, Carrollton, MO 64633 2007-02-23
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Competitor

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City KANSAS CITY
Zip Code 64138

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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