NPIMap

Organization Active NPI

Premier Home Healthcare LLC

  • Health Maintenance Organization
  • Minneapolis, MN
National Provider Identifier
1255754230
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
PREMIER HOME HEALTHCARE LLC
Practice address
2435 Pillsbury Ave S
Apt 405
Minneapolis, MN 55404-3258
Phone
(612) 481-0934
NPI assigned
Jan 28, 2014
Last updated
Jan 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Authorized official

Name
Ibrahim Abu Munye
Title
President
Phone
(612) 481-0934

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X MN Primary

Addresses

Primary practice location

2435 Pillsbury Ave S
Apt 405
Minneapolis, MN 55404-3258

Mailing address

2435 Pillsbury Ave S
Apt 405
Minneapolis, MN 55404-3258
Phone (612) 481-0934

National Provider Directory

National Provider Directory
Tax ID family
Premeir Home Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1255754230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 PILLSBURY AVE S",
            "address_2": "APT 405",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043258",
            "telephone_number": "612-481-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 PILLSBURY AVE S",
            "address_2": "APT 405",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043258",
            "telephone_number": "612-481-0934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "ABU MUNYE",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-481-0934"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MN",
            "license": null,
            "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 Jan 28, 2014; 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.