Organization Active NPI

Willow Home Care Inc

  • Home Health Agency
  • New Brighton, MN
National Provider Identifier
1093567885
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WILLOW HOME CARE INC
Practice address
151 Silver Lake Rd NW Unit 10
New Brighton, MN 55112-8102
Phone
(651) 359-4890
NPI assigned
Apr 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Hamdi HusseinNPI 1891486759
Title
Owner
Phone
(651) 359-4890

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

151 Silver Lake Rd NW Unit 10
New Brighton, MN 55112-8102

Mailing address

151 Silver Lake Rd NW Unit 10
New Brighton, MN 55112-8102
Phone (651) 359-4890

National Provider Directory

National Provider Directory
Tax ID family
Willow Home Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3918 Central Ave NE
Ste B
Columbia Heights, MN 55421

151 Silver Lake Rd NW
Unit 10
New Brighton, MN 55112
Phone (651) 359-4890

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": "1712188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1093567885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SILVER LAKE RD NW UNIT 10",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551128102",
            "telephone_number": "651-359-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SILVER LAKE RD NW UNIT 10",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551128102",
            "telephone_number": "651-359-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "HUSSEIN",
        "authorized_official_first_name": "HAMDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-359-4890"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Brighton, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.