Active NPI
Willow Home Care Inc
- Substance Abuse Rehabilitation Facility
- New Brighton, MN
National Provider Identifier
1114893013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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
- Oct 16, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hamdi Hussein
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
151 Silver Lake Rd NW Unit 10
New Brighton, MN 55112-8102
Mailing address
808 Berry St Apt 114
Saint Paul, MN 55114-1382
Phone (651) 359-4890
National Provider Directory
National Provider Directory- Tax ID family
- Willow Home Care Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- New Brighton, MN
- NPI 1093567885
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Home Health Registered Nurse
- Roseville, MN
- NPI 1891486759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1760572800000",
"number": "1114893013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 BERRY ST APT 114",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551141382",
"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": "2025-10-16",
"last_updated": "2025-10-16",
"certification_date": "2025-10-16",
"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": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"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 Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.