Fayyaa Home Health Care Services, LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FAYYAA HOME HEALTH CARE SERVICES, LLC.

Practice address

7108 Chicago Ave #1
Richfield, MN 55423-3478

Phone

(612) 707-4741

NPI assigned

Apr 16, 2019

Last updated

Jul 9, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tadesse Geleta Negasa, RN

Title

Owner/Manager

Phone

(612) 707-4741

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1043873078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 CHICAGO AVE #1",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554233478",
            "telephone_number": "612-707-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7108 CHICAGO AVE #1",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554233478",
            "telephone_number": "612-707-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYYAA HOME HEALTH CARE SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "NEGASA",
        "authorized_official_first_name": "TADESSE",
        "authorized_official_middle_name": "GELETA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "612-707-4741",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MINNESOTA DEPARTMENT OF HUMAN SERVICES",
            "identifier": "A565413200",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.