Healthcare Provider Details
I. General information
NPI: 1154114759
Provider Name (Legal Business Name): HASS HOME HEALTH CARE AND TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/27/2025
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2239 GREGOR OVERLOOK LN
APEX NC
27502-6626
US
IV. Provider business mailing address
2239 GREGOR OVERLOOK LN
APEX NC
27502-6626
US
V. Phone/Fax
- Phone: 910-227-9996
- Fax:
- Phone: 910-227-9996
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
IMAN
HASSAN
Title or Position: OWNER/MANAGER
Credential:
Phone: 910-227-9996