Individual provider Active NPI

Mohamed Adam Abdilahi

  • Home Health Aide
  • Bloomington, MN
National Provider Identifier
1255032215
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Practice address
9741 Grand Ave S Apt 119951
Bloomington, MN 55420-4247
Phone
(952) 353-7056
NPI assigned
Mar 15, 2023
Last updated
Mar 15, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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 MN Primary

Addresses

Primary practice location

9741 Grand Ave S Apt 119951
Bloomington, MN 55420-4247

Mailing address

951 Lowry Ave NE Apt 216
Minneapolis, MN 55418-1912
Phone (952) 353-7056

Other names 1

  • Bashir Sheikh Ahmed Other name

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

NPI Registry JSON

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1255032215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 LOWRY AVE NE APT 216",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554181912",
            "telephone_number": "952-353-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9741 GRAND AVE S APT 119951",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554204247",
            "telephone_number": "952-353-7056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDILAHI",
        "first_name": "MOHAMED",
        "middle_name": "ADAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BASHIR",
            "last_name": "AHMED",
            "middle_name": "SHEIKH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bloomington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.