Organization Active NPI

Frogtown Home Health LLC

  • Nursing Care Agency
  • Minneapolis, MN
National Provider Identifier
1144060369
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
FROGTOWN HOME HEALTH LLC
Practice address
2304 Park Ave Ste 220
Minneapolis, MN 55404-3756
Phone
(612) 463-3454
NPI assigned
May 27, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Authorized official

Name
Ridwan Isse
Title
Owner
Phone
(612) 545-6769

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X Primary
In Home Supportive Care Agency 253Z00000X

Addresses

Primary practice location

2304 Park Ave Ste 220
Minneapolis, MN 55404-3756

Mailing address

2304 Park Ave Ste 220
Minneapolis, MN 55404-3756
Phone (612) 463-3454

National Provider Directory

National Provider Directory

Locations

2304 Park Ave
Ste 220
Minneapolis, MN 55404
Phone (612) 463-3454

3055 Old Highway 8
Ste 201
St Anthony, MN 55418
Phone (612) 545-6769

NPI Registry JSON

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1144060369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 PARK AVE STE 220",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043756",
            "telephone_number": "612-463-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 PARK AVE STE 220",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043756",
            "telephone_number": "612-463-3454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FROGTOWN HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-27",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "ISSE",
        "authorized_official_first_name": "RIDWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-545-6769"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 May 15, 2026; 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.