Organization Active NPI

Family Homecare Services, LLC

  • Home Health Agency
  • Saint Paul, MN
National Provider Identifier
1164061495
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FAMILY HOMECARE SERVICES, LLC
Practice address
904 Aurora Ave
Saint Paul, MN 55104-4739
Phone
(651) 815-8183
NPI assigned
Jan 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Authorized official

Name
Shueb Mohamed
Title
Manager
Phone
(651) 815-8183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

904 Aurora Ave
Saint Paul, MN 55104-4739

Mailing address

904 Aurora Ave
Saint Paul, MN 55104-4739
Phone (651) 815-8183

Other names 1

  • Family HomeCare Services, LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1164061495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 AURORA AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044739",
            "telephone_number": "651-815-8183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 AURORA AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551044739",
            "telephone_number": "651-815-8183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HOMECARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "SHUEB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "651-815-8183"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family HomeCare Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.