Active NPI
SE Family Care Center Limited Liability Company
- Home Health Agency
- Rochester, MN
National Provider Identifier
1023694569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SE FAMILY CARE CENTER LIMITED LIABILITY COMPANY
- Practice address
- 3265 19TH St NW Ste 130
Rochester, MN 55901-6786 - Phone
- (507) 216-7778
- NPI assigned
- Mar 23, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Abdirashid Ibrahim, OWNER
- Title
- Manager
- Phone
- (612) 327-0112
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
3265 19TH St NW Ste 130
Rochester, MN 55901-6786
Mailing address
3265 19TH St NW Ste 340
Rochester, MN 55901-6786
Phone (507) 216-7778
National Provider Directory
National Provider DirectoryLocations
1700 N Broadway
Ste 112
Rochester, MN 55906
3265 19th St NW
Ste 340
Rochester, MN 55901
Phone (507) 424-1010
3265 19th St NW
Ste 130
Rochester, MN 55901
Phone (507) 216-7778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720483200000",
"number": "1023694569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3265 19TH ST NW STE 340",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559016786",
"telephone_number": "507-216-7778",
"fax_number": "507-200-6020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3265 19TH ST NW STE 130",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559016786",
"telephone_number": "507-216-7778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SE FAMILY CARE CENTER LIMITED LIABILITY COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-23",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A",
"authorized_official_last_name": "IBRAHIM",
"authorized_official_first_name": "ABDIRASHID",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "612-327-0112",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "OWNER"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.