Organization Active NPI

Healing Homecare LLC

  • Assisted Living Facility
  • Fridley, MN
National Provider Identifier
1043040363
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HEALING HOMECARE LLC
Practice address
6476 Arthur St NE
Fridley, MN 55432-5206
Phone
(614) 598-5174
NPI assigned
Aug 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Authorized official

Name
Mr. Farhan EgalNPI 1962246785
Title
Owner
Phone
(614) 598-5174

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X
Assisted Living Facility 310400000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

6476 Arthur St NE
Fridley, MN 55432-5206

Mailing address

6476 Arthur St NE
Fridley, MN 55432-5206
Phone (614) 598-5174

Other names 1

  • Healing Homecare LLC Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2309656Healing Homecare LLC6476 Arthur Street North East, Fridley, MN 55432Certificate of waiverAug 19, 2026

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": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1043040363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6476 ARTHUR ST NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325206",
            "telephone_number": "614-598-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6476 ARTHUR ST NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325206",
            "telephone_number": "614-598-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "EGAL",
        "authorized_official_first_name": "FARHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-598-5174",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Homecare LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fridley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.