Ubah Khaireh

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

License

420918 Issued in MN

Practice address

9012 Tessman Pkwy N
Brooklyn Park, MN 55445

Phone

(763) 269-9996

NPI assigned

May 19, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mercy Care Center LLC

  • Assisted Living Facility
  • Brooklyn Park, MN
  • NPI 1407648108
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1003608845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9012 TESSMAN PKWY N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "55445",
            "telephone_number": "763-269-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9012 TESSMAN PKWY N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "55445",
            "telephone_number": "763-269-9996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAIREH",
        "first_name": "UBAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "",
            "desc": "Nursing Home Administrator",
            "state": "MN",
            "license": "420918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Kenzie
• Shawn Kern, LADC
• Kerry Home Care LLC
• Keshi Health Care Services Inc
• Tyler Steven Kettelkamp, ATC
• Hamdia Khalif
• Hyder Mohammad Khan, PH.D., MD
• Shazia Khan
• Mary-Nyakoun K Khaway, MA
• Kelly Uyen Khieu

• Nursing Home Administrator in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Nursing Home Administrator in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.