Senior Home Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

490865700028 Issued in MN

Legal business name

SENIOR HOME HEALTH CARE, LLC

Practice address

7800 Metro Pkwy Ste 100
Bloomington, MN 55425-1528

Phone

(952) 855-7786

Fax

(952) 855-7784

NPI assigned

Jun 1, 2012

Organization subpart

No

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

Authorized official

Name

Jeylani Hashi

Title

Owner

Phone

(952) 855-7786

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Home health agency certification: CCN 248131

Legal name

SENIOR HOME HEALTH CARE, LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 6, 2013

Last certification

Sep 6, 2013

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Enrollment address

7800 Metro Pkwy
Ste 100
Bloomington, MN 55425-1528
HHA Branch

Listed as

Senior Home Health Care LLCCCN 248131

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Sep 6, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Melissa Helene Bogin, MD

  • Internal Medicine Physician
  • Rochester, MN
  • NPI 1649830985

  Home health agency

  Care Compare affiliation
• Anupam Chandra, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Rochester, MN
  • NPI 1306813282

  Home health agency

  Care Compare affiliation
• Kourtny Long, PA-C

  • Physician Assistant
  • Stillwater, MN
  • NPI 1659761898

  Home health agency

  Care Compare affiliation
• Prasamsi Mikkilineni, MD

  • Internal Medicine Physician
  • Rochester, MN
  • NPI 1235181025

  Home health agency

  Care Compare affiliation
• Marvin A Vaughan, M.D.

  • Internal Medicine Physician
  • Rochester, MN
  • NPI 1194705152

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1194086520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 METRO PKWY STE 100",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251528",
            "telephone_number": "952-855-7786",
            "fax_number": "952-855-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 METRO PKWY STE 100",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251528",
            "telephone_number": "952-855-7786",
            "fax_number": "952-855-7784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Twelve Oaks Center Dr Ste 808",
            "address_purpose": "LOCATION",
            "city": "Wayzata",
            "state": "MN",
            "postal_code": "553914620",
            "country_code": "US",
            "telephone_number": "952-855-7786",
            "fax_number": "952-855-7786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SENIOR HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2022-07-21",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "HASHI",
        "authorized_official_first_name": "JEYLANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-855-7786"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "490865700028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Sellin
• Jenna Sells, PA-C
• Ian A Selzler
• Sengsavang Inc.
• Senior Care Transportation LLC
• Brittani Joy Senser, LICSW
• Clare T Sercombe, MD
• Serene Medical Clinic LLC
• Serenia Home Health LLC
• Serenity Haven Group Home LCC

• Home Health Agency in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.