Provider Demographics
NPI:1114630712
Name:HASSEN, SENIYA R
Entity Type:Individual
Prefix:
First Name:SENIYA
Middle Name:R
Last Name:HASSEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6918 WILLOW ST NW # W206
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-2197
Mailing Address - Country:US
Mailing Address - Phone:443-675-8209
Mailing Address - Fax:
Practice Address - Street 1:6918 WILLOW ST NW # W206
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-2197
Practice Address - Country:US
Practice Address - Phone:443-675-8209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-29
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHHA200001636374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide