Prime Health Professional Corporation

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PRIME HEALTH PROFESSIONAL CORPORATION

Practice address

1712 Lyn Park Ave N
Minneapolis, MN 55411-3326

Phone

(612) 450-0358

NPI assigned

Jun 16, 2022

Organization subpart

No

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

Authorized official

Name

Abdirahman Abdi

Title

Owner

Phone

(612) 450-0358

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1205566676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 LYN PARK AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554113326",
            "telephone_number": "612-450-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1712 LYN PARK AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554113326",
            "telephone_number": "612-450-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTH PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "ABDI",
        "authorized_official_first_name": "ABDIRAHMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-450-0358"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Behavioral Health Clinic, Inc.
• Primary Initiative Care LLC
• Prime Autism Center Inc
• Prime Growth Behavior Services Inc.
• Prime Healing Inc
• Prime Health Services Inc
• Prime Health Wellness LLC
• Prime Medical Centers LLC
• Prime Meridian, Inc.
• Prime Steps Inc

• Home Health Agency in Minneapolis, MN
• Providers in Minneapolis, 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 Jun 16, 2022; 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.