Provider Demographics
NPI:1215722699
Name:HASSAN, ABDIRAHMAN
Entity type:Individual
Prefix:
First Name:ABDIRAHMAN
Middle Name:
Last Name:HASSAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14341 E CAROLINA DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-5511
Mailing Address - Country:US
Mailing Address - Phone:303-618-5796
Mailing Address - Fax:
Practice Address - Street 1:14341 E CAROLINA DR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-5511
Practice Address - Country:US
Practice Address - Phone:303-618-5796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-14
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04V34C374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide