Mother Teresa Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MOTHER TERESA HOME CARE LLC

Practice address

9220 Bass Lake Rd
New Hope, MN 55428-3000

Phone

(612) 978-3940

NPI assigned

Sep 16, 2015

Last updated

Sep 16, 2015By 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. Fascil Birhanu Dubale

Title

Owner

Phone

(612) 978-3940

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442361600000",
    "number": "1114396546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 BASS LAKE RD",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554283000",
            "telephone_number": "612-978-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9220 BASS LAKE RD",
            "city": "NEW HOPE",
            "state": "MN",
            "postal_code": "554283000",
            "telephone_number": "612-978-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHER TERESA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-09-16",
        "status": "A",
        "authorized_official_last_name": "DUBALE",
        "authorized_official_first_name": "FASCIL",
        "authorized_official_middle_name": "BIRHANU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-978-3940",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minnesota Rusco, Inc.
• Maida Kasim Mohamed
• Emma B Mohs
• Jaime Lea Monson, MSW, LICSW
• Mosaic Family Therapy, LLC
• Nicole Motz, OTD, OTR/L
• Alethia Moua, LICSW
• Ellina Andreyevna Mudraya, PTA
• Heather A. Muras, MA, LMFT
• Mya Home Care LLC

• Home Health Agency in New Hope, MN
• Providers in New Hope, 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 Sep 16, 2015; 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.