MR. SHANGO HUSANI (NPI# 1164053302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164053302 |
| Entity Type | Individual |
| Full Name | MR. SHANGO HUSANI |
| Credential | PEER SPECIALIST |
| Practice Address |
2719 Hollywood Blvd Ste B208 Hollywood FL 33020-4821 |
| Practice Telephone | 3057666627 |
| Mailing Telephone | 3057666627 |
| Enumeration Date | 2020-01-27 |
| Last Update Date | 2020-01-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | CRPS100311-A | FL | Other Service Providers |
| Street Address |
2719 HOLLYWOOD BLVD STE B208 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33020-4821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629694203 | Oaks Medical Group, LLC | Internal Medicine | 2854 Jackson St, Hollywood, FL 33020 | 2020-06-19 |
| 1487217949 | Yaneisy Correa Vento Sr. | Nurse Practitioner | 2700 E Hollywood Blud, Hollywood, FL 33020 | 2019-04-19 |
| 1811453590 | Sandra's Car Service LLC | Non-emergency Medical Transport (VAN) | 2048 Mckinley St. Bay #1, Hollywood, FL 33020 | 2019-02-18 |
| 1134605330 | Cruz Ines Diaz | Peer Specialist | 3400 N- 29th Avenue, Hollywood, FL 33020 | 2018-07-11 |
| 1598258451 | Brian Tran | Dentist | 1704 Stirling Rd., Hollywood, FL 33020 | 2018-06-14 |
| 1295223451 | Broward Treatment Center | Substance Abuse Rehabilitation Facility | 1101 S 21 Ave, Hollywood, FL 33020 | 2018-04-24 |
| 1033617220 | Laura Goldman | Psychologist | 2514 Hollywood Blvd Ste 404, Hollywood, FL 33020 | 2018-01-23 |
| 1205344835 | Sunshine Health Supplies LLC | Durable Medical Equipment & Medical Supplies | 1926 Hollywood Blvd Ste 204, Hollywood, FL 33020 | 2018-01-17 |
| 1124536222 | Melina Rodriguez | Counselor | 3400 N 29th Avenue, Hollywood, FL 33020 | 2018-01-11 |
| 1003337783 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 1776 Polk St., Hollywood, FL 33020 | 2017-07-03 |
| Find all providers in zip 33020 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134605330 | Cruz Ines Diaz | Peer Specialist | 3400 N- 29th Avenue, Hollywood, FL 33020 | 2018-07-11 |
| 1306324926 | Catherine El-amin | Peer Specialist | 3400 N. 29th Avenue, Hollywood, FL 33020 | 2018-08-06 |
| 1285130245 | Gayle Levine | Peer Specialist | 3400 N. 29th Avenue, Hollywood, FL 33020 | 2018-03-30 |
| 1760988737 | Rachel Landry | Peer Specialist | 3400 N. 29th Avenue, Hollywood, FL 33020 | 2018-03-30 |
| 1073019055 | Sydney Joyce Davis | Peer Specialist | 3400 N. 29th Avenue, Hollywood, FL 33020 | 2018-03-30 |
| 1932605995 | Jamie Doyle | Peer Specialist | 3400 N. 29th Avenue, Hollywood, FL 33020 | 2018-03-30 |
| 1902302979 | Thomas Flaherty | Peer Specialist | 3400 N. 29th Avenue, Hollywood, FL 33020 | 2018-03-30 |
| 1922504992 | Barbara Albuquerque | Peer Specialist | 3400 N. 29th Avenue, Hollywood, FL 33020 | 2018-03-30 |
| 1184120156 | Kristine Carleson | Peer Specialist | 3400 N. 29th Avenue, Hollywood, FL 33020 | 2018-03-30 |
| 1164928131 | Amy Osterwise | Peer Specialist | 3400 N. 29th Avenue, Hollywood, FL 33020 | 2018-03-30 |
| Find all providers in HOLLYWOOD | ||||
Please comment or provide details below to improve the information on MR. SHANGO HUSANI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.