Mission Home Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MISSION HOME HEALTHCARE LLC

Practice address

1013 Cliff Rd E Ste 301
Burnsville, MN 55337-1540

Phone

(612) 735-9711

NPI assigned

Nov 17, 2020

Organization subpart

No

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

Authorized official

Name

Abshir Mohamud

Title

Manager

Phone

(612) 735-9711

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1013510510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 UNIVERSITY AVE NE APT 121",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554184332",
            "telephone_number": "612-735-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 CLIFF RD E STE 301",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553371540",
            "telephone_number": "612-735-9711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1808 University Ave NE Apt 121",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554184332",
            "country_code": "US",
            "telephone_number": "612-735-9711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MISSION HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "MOHAMUD",
        "authorized_official_first_name": "ABSHIR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-735-9711"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.