Organization Active NPI

Gbaleah Home Care LLC

  • Home Health Agency
  • Maple Grove, MN
National Provider Identifier
1033752563
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GBALEAH HOME CARE LLC
Practice address
7865 Polaris LN N
Maple Grove, MN 55311-2114
Phone
(763) 477-1135
NPI assigned
Oct 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Authorized official

Name
Hawa L Kamara
Title
Manager
Phone
(763) 477-1135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

7865 Polaris LN N
Maple Grove, MN 55311-2114

Mailing address

7865 Polaris LN N
Maple Grove, MN 55311-2114
Phone (763) 477-1135

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572220800000",
    "number": "1033752563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7865 POLARIS LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553112114",
            "telephone_number": "763-477-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7865 POLARIS LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553112114",
            "telephone_number": "763-477-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GBALEAH HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A",
        "authorized_official_last_name": "KAMARA",
        "authorized_official_first_name": "HAWA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "763-477-1135"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.