IndividualActive
Yohannes Fissiha
NPI 1295346690 · Assisted Living Facility · Port Orange, FL
Yohannes Fissiha is a Assisted Living Facility provider in Port Orange, FL (NPI 1295346690).
Provider details
- NPI number
- 1295346690
- Entity type
- Individual
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Sex
- Male
- Sole proprietor
- Yes
- License
- AL6084 (FL)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
401 Orange Ave
Port Orange, FL 32127-4444
Phone: (386) 767-6268
Street-level locationGet directions
Mailing address
401 Orange Ave
Port Orange, FL 32127-4444
Registry dates
- Enumerated
- 2020-08-11
- Last updated
- 2020-08-11
- Certified
- 2020-08-11
Frequently asked questions
- What is Yohannes Fissiha's NPI number?
- Yohannes Fissiha's National Provider Identifier (NPI) is 1295346690, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Yohannes Fissiha's specialty?
- Yohannes Fissiha is listed in the NPPES registry with a primary specialty of Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Yohannes Fissiha located?
- Yohannes Fissiha's practice location on file with NPPES is 401 Orange Ave, Port Orange, FL 32127-4444.
- What is Yohannes Fissiha's phone number?
- The practice phone number listed in the NPPES registry for Yohannes Fissiha is (386) 767-6268.
- Is Yohannes Fissiha's NPI active?
- Yes — Yohannes Fissiha's NPI (1295346690) is active in the NPPES registry as of the last update on 2020-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.