Ignite Home Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

IGNITE HOME HEALTH

Practice address

5820 6TH St NE
Fridley, MN 55432-5527

Phone

(612) 407-4964

NPI assigned

Sep 21, 2022

Organization subpart

No

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

Authorized official

Name

Esse Sheikhmohamed

Title

Executive Director

Phone

(612) 407-4964

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1114640463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 6TH ST NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325527",
            "telephone_number": "612-407-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 6TH ST NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554325527",
            "telephone_number": "612-407-4964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "SHEIKHMOHAMED",
        "authorized_official_first_name": "ESSE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "612-407-4964"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Fridley, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.