Organization Active NPI

Fellowship Home Care LLC

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1225607633
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FELLOWSHIP HOME CARE LLC
Practice address
1113 E Franklin Ave Ste 210a
Minneapolis, MN 55404-2910
Phone
(612) 472-5590
Fax
(651) 867-4438
NPI assigned
Jun 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Authorized official

Name
Abdulqadir Abdalla Mohamed
Title
Manager/Owner
Phone
(612) 987-4480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1113 E Franklin Ave Ste 210a
Minneapolis, MN 55404-2910

Mailing address

408 Cedar Ave S Ste 5
Minneapolis, MN 55454-1120
Phone (612) 987-4480

Other names 1

  • Fellowship Home Care LLC Other name

National Provider Directory

National Provider Directory

Locations

1113 E Franklin Ave
Ste 210A
Minneapolis, MN 55404
Phone (612) 472-5590

NPI Registry JSON

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1225607633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 CEDAR AVE S STE 5",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541120",
            "telephone_number": "612-987-4480",
            "fax_number": "651-867-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 E FRANKLIN AVE STE 210A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042910",
            "telephone_number": "612-472-5590",
            "fax_number": "651-867-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FELLOWSHIP HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-21",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "ABDULQADIR",
        "authorized_official_middle_name": "ABDALLA",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "612-987-4480"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fellowship Home Care LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Nov 12, 2025; 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.