Organization Active NPI

SE Family Care Center Limited Liability Company

  • Home Health Agency
  • Rochester, MN
National Provider Identifier
1023694569
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Jul 9, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.