Organization Active NPI

Isra Home Care LLC

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1013317387
Registry record updated Aug 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ISRA HOME CARE LLC
Practice address
2910 Pillsbury Ave S Ste 214
Minneapolis, MN 55408-2298
Phone
(612) 636-0399
Fax
(888) 919-4923
NPI assigned
Aug 24, 2014
Last updated
Aug 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2014

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

Authorized official

Name
Ali Yassin Isse
Title
Owner
Phone
(612) 986-0703

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2910 Pillsbury Ave S Ste 214
Minneapolis, MN 55408-2298

Mailing address

2910 Pillsbury Ave S Ste 214
Minneapolis, MN 55408-2298
Phone (612) 636-0399

National Provider Directory

National Provider Directory

Locations

2910 Pillsbury Ave S
Ste 214
Minneapolis, MN 55408
Phone (612) 636-0399

NPI Registry JSON

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

{
    "created_epoch": "1408838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408838400000",
    "number": "1013317387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 PILLSBURY AVE S STE 214",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082298",
            "telephone_number": "612-636-0399",
            "fax_number": "888-919-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 PILLSBURY AVE S STE 214",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082298",
            "telephone_number": "612-636-0399",
            "fax_number": "888-919-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISRA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-24",
        "last_updated": "2014-08-24",
        "status": "A",
        "authorized_official_last_name": "ISSE",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "YASSIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-986-0703"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2014; 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.