Healthcare Provider Details
I. General information
NPI: 1720911134
Provider Name (Legal Business Name): GLOBAL REHAB FOR YOUTH N FAMILY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7915 MARTIN LUTHER KING JR WAY S APT 1
SEATTLE WA
98118-4362
US
IV. Provider business mailing address
7915 MARTIN LUTHER KING JR WAY S APT 1
SEATTLE WA
98118-4362
US
V. Phone/Fax
- Phone: 206-428-8836
- Fax:
- Phone: 206-428-8836
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171M00000X |
| Taxonomy | Case Manager/Care Coordinator |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171R00000X |
| Taxonomy | Interpreter |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 172V00000X |
| Taxonomy | Community Health Worker |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174H00000X |
| Taxonomy | Health Educator |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 374U00000X |
| Taxonomy | Home Health Aide |
| License Number | |
| License Number State | |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 405300000X |
| Taxonomy | Prevention Professional |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
OMAR
M
HASSAN
Title or Position: PRESIDENT
Credential:
Phone: 206-428-8836