Organization Active NPI

Wood Hill Home Care Limited Liability Company

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1104339415
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
WOOD HILL HOME CARE LIMITED LIABILITY COMPANY
Practice address
408 Cedar Ave S Ste 2
Minneapolis, MN 55454-1120
Phone
(612) 225-9181
NPI assigned
Nov 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Authorized official

Name
Fadumo Mohamoud Ahmed
Title
Chief Manager
Phone
(612) 229-1817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

408 Cedar Ave S Ste 2
Minneapolis, MN 55454-1120

Mailing address

408 Cedar Ave S Ste 2
Minneapolis, MN 55454-1120
Phone (612) 229-1817

Other identifiers 1

IdentifierTypeStateIssuer
25MedicaidMN

National Provider Directory

National Provider Directory

Locations

408 Cedar Ave S
Ste 2
Minneapolis, MN 55454
Phone (612) 225-9181

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1104339415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 CEDAR AVE S STE 2",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541120",
            "telephone_number": "612-229-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 CEDAR AVE S STE 2",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541120",
            "telephone_number": "612-225-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOOD HILL HOME CARE LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "FADUMO",
        "authorized_official_middle_name": "MOHAMOUD",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "612-229-1817"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25",
            "state": "MN"
        }
    ],
    "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 Oct 16, 2018; 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.