Complete Care Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COMPLETE CARE HOME CARE LLC

Practice address

4111 Central Ave NE North Building
Suite 202
Columbia Heights, MN 55421

Phone

(763) 283-1267

NPI assigned

May 29, 2018

Last updated

May 29, 2018By 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

Abdullahi H Farah

Title

President/Owner

Phone

(763) 283-1267

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527552000000",
    "number": "1245721976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 CENTRAL AVE NE NORTH BUILDING",
            "address_2": "SUITE 202",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "55421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 CENTRAL AVE NE NORTH BUILDING",
            "address_2": "SUITE 202",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "55421",
            "telephone_number": "763-283-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE CARE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2018-05-29",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "ABDULLAHI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "763-283-1267"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Columbia Heights, MN
• Providers in Columbia Heights, 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 May 29, 2018; 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.