Gadeeh Fahnbulleh, HOME MAKER

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

7900 Zane Ave N
#104
Brooklyn Park, MN 55443-2176

Phone

(651) 235-2042

NPI assigned

Aug 28, 2010

Last updated

Aug 28, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1282953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282953600000",
    "number": "1033425996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 WAYZATA BLVD",
            "address_2": "SUITE 700",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161222",
            "telephone_number": "651-235-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 ZANE AVE N",
            "address_2": "#104",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432176",
            "telephone_number": "651-235-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHNBULLEH",
        "first_name": "GADEEH",
        "credential": "HOME MAKER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-28",
        "last_updated": "2010-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLASS A PROFRESSIONAL HOME HEALTH CARE AGENCY",
            "identifier": "348032",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evolution Therapy
• Evolve Health and Wellness LLC
• Excel MRI, P.a.
• Excell Academy for Higher Learning
• Eye Klinic Inc (eyeklinic of edinburgh)
• Fairhavens Home Care
• Fairhavens Home Care
• Fairhavens Home Care LLC
• Fairview Clinics
• Fairview Express Care (Fairview Brooklyn Park Clinic (Eyewear))

• Homemaker in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Homemaker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2010; 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.