Mohamed Hassan Ahmed

Individual provider Active NPI Personal Care Attendant · Fridley, MN

NPI 1003632571 · NPPES record last updated Nov 29, 2024

Key facts

NPI
1003632571
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
6599 Channel Rd NE
Fridley, MN 55432-4628
Phone
(763) 318-4122
NPI assigned
Nov 29, 2024
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

6599 Channel Rd NE
Fridley, MN 55432-4628

Mailing address

6599 Channel Rd NE
Fridley, MN 55432-4628

Other providers in Fridley, MN

All providers in Fridley, MN · Personal Care Attendant in Minnesota

Sources for this page

Verify at the official NPI Registry.