Organization Active NPI

Jubbaland Health Home Care

  • Adult Care Home Facility
  • Minneapolis, MN
National Provider Identifier
1144459173
Registry record updated Jul 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
JUBBALAND HEALTH HOME CARE
Practice address
1433 E Franklin Ave
Suite 16
Minneapolis, MN 55404-2101
Phone
(612) 242-5612
NPI assigned
Jul 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2009

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

Authorized official

Name
Mr. Rashid Sheikh Mohamud
Title
Manager
Phone
(612) 242-5612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

1433 E Franklin Ave
Suite 16
Minneapolis, MN 55404-2101

Mailing address

2740 Minnehaha Ave
Suite 130-90
Minneapolis, MN 55406-1542

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247443200000",
    "number": "1144459173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 MINNEHAHA AVE",
            "address_2": "SUITE 130-90",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554061542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 E FRANKLIN AVE",
            "address_2": "SUITE 16",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042101",
            "telephone_number": "612-242-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUBBALAND HEALTH HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-13",
        "last_updated": "2009-07-13",
        "status": "A",
        "authorized_official_last_name": "MOHAMUD",
        "authorized_official_first_name": "RASHID",
        "authorized_official_middle_name": "SHEIKH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-242-5612",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jul 13, 2009; 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.