MEDICARE: DEGA HASSAN ADAM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1093693293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEGA HASSAN ADAM

Provider Business Mailing Address
First Line	:	2408 CAROLINA AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-6866
Country	:	US
Telephone Number	:	614-377-0016
Fax Number	:

Provider Business Practice Location Address
First Line	:	1780 MORSE RD UNIT 38A
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43229-9513
Country	:	US
Telephone Number	:	614-377-0016
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2025
Last Update Date	:	08/25/2025

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Directions to “ DEGA HASSAN ADAM ” Practice Location

Language	Start Address	Practice Location

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