Organization Active NPI

Yasmiin Home Care Agency L.L.C

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1053913004
Registry record updated Jun 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
YASMIIN HOME CARE AGENCY L.L.C
Practice address
2930 Blaisdell Ave Apt 227
Minneapolis, MN 55408-2325
Phone
(423) 313-8629
Fax
(612) 808-2002
NPI assigned
Nov 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2022

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

Authorized official

Name
Farhan Ahmed Mahmoud
Title
Owner
Phone
(423) 313-8629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2930 Blaisdell Ave Apt 227
Minneapolis, MN 55408-2325

Mailing address

7533 Penn Ave S Apt 2
Minneapolis, MN 55423-3637
Phone (423) 313-8629

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654473600000",
    "number": "1053913004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7533 PENN AVE S APT 2",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554233637",
            "telephone_number": "423-313-8629",
            "fax_number": "612-808-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 BLAISDELL AVE APT 227",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082325",
            "telephone_number": "423-313-8629",
            "fax_number": "612-808-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YASMIIN HOME CARE AGENCY L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-13",
        "last_updated": "2022-06-06",
        "certification_date": "2022-06-06",
        "status": "A",
        "authorized_official_last_name": "AHMED MAHMOUD",
        "authorized_official_first_name": "FARHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-313-8629"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; 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.