Organization Active NPI

Kam Homecare

Doing business as Home Health Care

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Minneapolis, MN
National Provider Identifier
1184244527
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
KAM HOMECARE
Doing business as
Home Health Care
Practice address
1500 Nicollet Ave Apt 305
Minneapolis, MN 55403-2724
Phone
(612) 709-3880
NPI assigned
Apr 24, 2020
Last updated
Apr 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Authorized official

Name
Mrs. Angelle Kanneh
Title
Ceo
Phone
(612) 709-3880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

1500 Nicollet Ave Apt 305
Minneapolis, MN 55403-2724

Mailing address

1500 Nicollet Ave Apt 305
Minneapolis, MN 55403-2724
Phone (612) 709-3880

Other names 1

  • Home Health Care 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": "1587686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1184244527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 NICOLLET AVE APT 305",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032724",
            "telephone_number": "612-709-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NICOLLET AVE APT 305",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032724",
            "telephone_number": "612-709-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAM HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-24",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "KANNEH",
        "authorized_official_first_name": "ANGELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-709-3880",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 24, 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.