Provider Demographics
NPI:1760159347
Name:BARRE, ABDIHAMID
Entity Type:Individual
Prefix:
First Name:ABDIHAMID
Middle Name:
Last Name:BARRE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3101 S MANCHESTER ST APT 616
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22044-2727
Mailing Address - Country:US
Mailing Address - Phone:571-414-9331
Mailing Address - Fax:
Practice Address - Street 1:3536 CARLIN SPRINGS RD STE 10N
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22041-3035
Practice Address - Country:US
Practice Address - Phone:571-414-9331
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-23
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No372600000XNursing Service Related ProvidersAdult Companion
No376G00000XNursing Service Related ProvidersNursing Home Administrator