Active NPI
Saeed Abdisamed Hussen
- Home Health Agency
- Minneapolis, MN
National Provider Identifier
1265077473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 84-3068255
- Practice address
- 2920 E 24TH St
Minneapolis, MN 55406-1322 - Phone
- (612) 245-5775
- NPI assigned
- Nov 12, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 84-3068255 | MN | Primary |
Addresses
Primary practice location
2920 E 24TH St
Minneapolis, MN 55406-1322
Mailing address
2920 E 24TH St
Minneapolis, MN 55406-1322
Other practice location 1
2920 E 24th St
Minneapolis, MN 55406-1322
Phone (612) 245-5775
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
| License | State | Type | Specialty |
|---|---|---|---|
| 84-3068255 | MN | MD | Home Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573516800000",
"number": "1265077473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 E 24TH ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554061322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 E 24TH ST",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554061322",
"telephone_number": "612-245-5775"
}
],
"practiceLocations": [
{
"address_1": "2920 E 24th St",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554061322",
"country_code": "US",
"telephone_number": "612-245-5775",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUSSEN",
"first_name": "SAEED",
"middle_name": "ABDISAMED",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-12",
"last_updated": "2019-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MN",
"license": "84-3068255",
"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 Nov 12, 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.