Organization Active NPI

Northeast Home Health Care, LLC

  • In Home Supportive Care Agency
  • Kansas City, MO
National Provider Identifier
1144508078
Registry record updated Jul 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
LC1122887 Issued in MO
Legal business name
NORTHEAST HOME HEALTH CARE, LLC
Practice address
1101 Euclid Ave
Kansas City, MO 64127-1152
Phone
(816) 255-5041
Fax
(816) 483-0130
NPI assigned
Jul 26, 2011
Last updated
Jul 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2011

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

Authorized official

Name
Mr. Farah Mohamed Abdi
Title
Director/Designated Manager
Phone
(816) 255-5041

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X LC1122887 MO Primary

Addresses

Primary practice location

1101 Euclid Ave
Kansas City, MO 64127-1152

Mailing address

1101 Euclid Ave
Kansas City, MO 64127-1152
Phone (816) 255-5041

National Provider Directory

National Provider Directory
Tax ID family
Northeast Home Health Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311638400000",
    "number": "1144508078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 EUCLID AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641271152",
            "telephone_number": "816-255-5041",
            "fax_number": "816-483-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 EUCLID AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641271152",
            "telephone_number": "816-255-5041",
            "fax_number": "816-483-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-26",
        "last_updated": "2011-07-26",
        "status": "A",
        "authorized_official_last_name": "ABDI",
        "authorized_official_first_name": "FARAH",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "DIRECTOR/DESIGNATED MANAGER",
        "authorized_official_telephone_number": "816-255-5041",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MO",
            "license": "LC1122887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2011; 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.