Organization Active NPI

Hodan Home Care LLC

  • Home Health Agency
  • West St Paul, MN
National Provider Identifier
1265974547
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HODAN HOME CARE LLC
Practice address
245 Marie Ave E
Suite 140
West St Paul, MN 55118-4103
Phone
(612) 607-3967
NPI assigned
Nov 17, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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

Authorized official

Name
Abdulkadir Abdullahi Bede
Title
President
Phone
(612) 607-3967

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

245 Marie Ave E
Suite 140
West St Paul, MN 55118-4103

Mailing address

245 Marie Ave E
Suite 140
West St Paul, MN 55118-4103
Phone (612) 607-3967

National Provider Directory

National Provider Directory

Locations

245 Marie Ave E
Ste 140
West St Paul, MN 55118
Phone (612) 607-3967

NPI Registry JSON

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479340800000",
    "number": "1265974547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 MARIE AVE E",
            "address_2": "SUITE 140",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551184103",
            "telephone_number": "612-607-3967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 MARIE AVE E",
            "address_2": "SUITE 140",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551184103",
            "telephone_number": "612-607-3967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HODAN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A",
        "authorized_official_last_name": "BEDE",
        "authorized_official_first_name": "ABDULKADIR",
        "authorized_official_middle_name": "ABDULLAHI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-607-3967"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West St Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.