Penneh Issie Home Healthcare

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

PENNEH ISSIE HOME HEALTHCARE

Practice address

19141 Johnson St NW
Elk River, MN 55330-7088

Phone

(763) 321-0809

NPI assigned

Feb 14, 2026

Organization subpart

No

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

Authorized official

Name

Mr. Anthony J Kaba

Title

Director

Phone

(763) 321-0809

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1771027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771027200000",
    "number": "1194677708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19141 JOHNSON ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553307088",
            "telephone_number": "763-321-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19141 JOHNSON ST NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553307088",
            "telephone_number": "763-321-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PENNEH ISSIE HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-14",
        "last_updated": "2026-02-14",
        "certification_date": "2026-02-14",
        "status": "A",
        "authorized_official_last_name": "KABA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "763-321-0809",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "364SH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Aide in Elk River, MN
• Providers in Elk River, MN by specialty
• Home Health Aide in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2026; 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.