Individual provider Active NPI

Hassan Hared Elmi

  • Home Health Aide
  • Minneapolis, MN
National Provider Identifier
1245844547
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
1097827 Issued in MN
Practice address
1817 Nicollet Ave Ste 4001817
Minneapolis, MN 55403-3774
Phone
(612) 872-8002
Fax
(612) 872-8010
NPI assigned
Sep 3, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 1097827 MN Primary

Addresses

Primary practice location

1817 Nicollet Ave Ste 4001817
Minneapolis, MN 55403-3774

Mailing address

1817 Nicollet Ave Ste 4001817
Minneapolis, MN 55403-3774
Phone (612) 872-8002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1097827MNMDHome Health Aide

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599091200000",
    "number": "1245844547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 NICOLLET AVE STE 4001817",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033774",
            "telephone_number": "612-872-8002",
            "fax_number": "612-872-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 NICOLLET AVE STE 4001817",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554033774",
            "telephone_number": "612-872-8002",
            "fax_number": "612-872-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMI",
        "first_name": "HASSAN",
        "middle_name": "HARED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MN",
            "license": "1097827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 3, 2020; 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.