Minnesota Professional Health Services,Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MINNESOTA PROFESSIONAL HEALTH SERVICES,INC

Practice address

810 E Franklin Ave
Minneapolis, MN 55404-2834

Phone

(612) 338-5259

Fax

(612) 338-5269

NPI assigned

Nov 2, 2006

Last updated

Feb 15, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Abdikarim Mohamed

Title

President

Phone

(612) 338-5259

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mn Professional Health Services,Inc Former legal business name

Locations

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550188800000",
    "number": "1235218157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E FRANKLIN AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042834",
            "telephone_number": "612-338-5259",
            "fax_number": "612-338-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E FRANKLIN AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042834",
            "telephone_number": "612-338-5259",
            "fax_number": "612-338-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA PROFESSIONAL HEALTH SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2019-02-15",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "ABDIKARIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-338-5259",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "303635900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MN Professional Health Services,Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mn Professional Health Services,Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Mn Professional Health Services,Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Home Health Agency in Minneapolis, MN
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.