Organization Active NPI

Derman Senior Care

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1063754802
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DERMAN SENIOR CARE
Practice address
2910 Pillsbury Ave S
Suite 217
Minneapolis, MN 55408-2297
Phone
(321) 438-9522
NPI assigned
Mar 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Authorized official

Name
Dahir N Nur, MBA
Title
Ceo
Phone
(321) 438-9522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2910 Pillsbury Ave S
Suite 217
Minneapolis, MN 55408-2297

Mailing address

PO Box 8611
Minneapolis, MN 55408-0611
Phone (321) 438-9522

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1063754802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8611",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554080611",
            "telephone_number": "321-438-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 PILLSBURY AVE S",
            "address_2": "SUITE 217",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082297",
            "telephone_number": "321-438-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMAN SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-20",
        "last_updated": "2013-03-20",
        "status": "A",
        "authorized_official_last_name": "NUR",
        "authorized_official_first_name": "DAHIR",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "321-438-9522",
        "authorized_official_credential": "MBA"
    },
    "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 Mar 20, 2013; 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.