Organization Active NPI

Malcolm Home Health LLC

  • Respite Care
  • Minneapolis, MN
National Provider Identifier
1265314983
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
MALCOLM HOME HEALTH LLC
Doing business as
Malcolm Home Health LLC
Practice address
505 Malcolm Ave SE Apt 403
Minneapolis, MN 55414-5752
Phone
(763) 453-0819
NPI assigned
Jul 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Dayir Ibrahim
Title
Owner
Phone
(763) 453-0819

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

505 Malcolm Ave SE Apt 403
Minneapolis, MN 55414-5752

Mailing address

505 Malcolm Ave SE Apt 403
Minneapolis, MN 55414-5752

Other names 1

  • Malcolm Home Health LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1753228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1265314983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 MALCOLM AVE SE APT 403",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554145752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 MALCOLM AVE SE APT 403",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554145752",
            "telephone_number": "763-453-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALCOLM HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "DAYIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-453-0819"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Malcolm Home Health LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 23, 2025; 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.