Elegant Services L.L.C

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ELEGANT SERVICES L.L.C

Practice address

1405 Silver Lake Rd NW Ste 5
New Brighton, MN 55112-9309

Phone

(612) 442-2008

Fax

(612) 808-2045

NPI assigned

Jan 21, 2022

Last updated

Nov 24, 2023By 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

Mr. Yassin Khadar Mohamed

Title

Management

Phone

(612) 442-2008

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1642723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700784000000",
    "number": "1093467920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 SILVER LAKE RD NW STE 5",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551129309",
            "telephone_number": "612-442-2008",
            "fax_number": "612-808-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 SILVER LAKE RD NW STE 5",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551129309",
            "telephone_number": "612-442-2008",
            "fax_number": "612-808-2045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2355 Highway 36 W Ste 400",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MN",
            "postal_code": "551133905",
            "country_code": "US",
            "telephone_number": "619-203-0235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELEGANT SERVICES L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-21",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "YASSIN",
        "authorized_official_middle_name": "KHADAR",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "612-442-2008",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "elegentservices87@gmail.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2355 Highway 36 W Ste 400",
            "city": "Roseville",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551133905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Home Health Agency in New Brighton, MN
• Providers in New Brighton, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2023; 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.