Healthcare Provider Details

I. General information

NPI: 1376489062
Provider Name (Legal Business Name): HASSAN YASSIN MOHAMED
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1256 YELLOWWOOD DR
COLUMBUS OH
43229-4415
US

IV. Provider business mailing address

1256 YELLOWWOOD DR
COLUMBUS OH
43229-4415
US

V. Phone/Fax

Practice location:
  • Phone: 614-619-9041
  • Fax:
Mailing address:
  • Phone: 614-619-9041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: