Organization Active NPI

Elite Health Center

  • Home Health Agency
  • Brooklyn Center, MN
National Provider Identifier
1184329161
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ELITE HEALTH CENTER
Practice address
5701 Shingle Creek Pkwy Ste 661B
Brooklyn Center, MN 55430-2467
Phone
(612) 517-7558
NPI assigned
Mar 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Authorized official

Name
Sudi Mohamed
Title
Manager
Phone
(612) 517-7558

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5701 Shingle Creek Pkwy Ste 661B
Brooklyn Center, MN 55430-2467

Mailing address

5701 Shingle Creek Pkwy # 661B
Brooklyn Center, MN 55430-2467

National Provider Directory

National Provider Directory

Locations

5701 Shingle Creek Pkwy
#661B
Brooklyn Center, MN 55430

5701 Shingle Creek Pkwy
Ste 661B
Brooklyn Center, MN 55430
Phone (612) 517-7558

NPI Registry JSON

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

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680220800000",
    "number": "1184329161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 SHINGLE CREEK PKWY # 661B",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 SHINGLE CREEK PKWY STE 661B",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554302467",
            "telephone_number": "612-517-7558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-25",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "SUDI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-517-7558"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Center, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.