Provider Demographics
NPI:1184215147
Name:SIYAD, HALIMO
Entity Type:Individual
Prefix:
First Name:HALIMO
Middle Name:
Last Name:SIYAD
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 1:2415 SHALOM WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-6046
Mailing Address - Country:US
Mailing Address - Phone:740-602-9860
Mailing Address - Fax:
Practice Address - Street 1:4314 DRESSEN ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43224-4322
Practice Address - Country:US
Practice Address - Phone:740-602-9860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-01
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide