MR. SUMAINA SANU IBRAHIM NPI 1750406708

NPI Information

NPI: 1750406708
Provider Name: MR. SUMAINA SANU IBRAHIM
Classification: Assisted Living Facility - 310400000X
Entity Type: Individual
Address:
802 LEVELLAND DR
ARLINGTON, TX
ZIP 76017
Phone: (817) 784-3827
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MR. Sumaina Sanu Ibrahim is an assisted living facility in Arlington, TX. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. MR. Sumaina Sanu Ibrahim NPI is 1750406708. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

802 LEVELLAND DR
ARLINGTON, TX
ZIP 76017-025
Phone: (817) 784-3827

The enumeration date for this NPI number is 3/20/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		119353	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0010001935	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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