Organization Active NPI

Samad Home Health Care, LLC

  • Home Health Agency
  • Saint Paul, MN
National Provider Identifier
1275779522
Registry record updated Dec 16, 2008
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OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Apr 20, 2021.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HE-01084-04 Issued in MN
Legal business name
SAMAD HOME HEALTH CARE, LLC
Practice address
149 Thompson Ave E
Suite # 207
Saint Paul, MN 55118-3238
Phone
(651) 552-7764
Fax
(651) 552-9051
NPI assigned
Dec 16, 2008
Last updated
Dec 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2008

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

Authorized official

Name
Ash Farah II
Title
Owner
Phone
(651) 552-7764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HE-01084-04 MN Primary

Addresses

Primary practice location

149 Thompson Ave E
Suite # 207
Saint Paul, MN 55118-3238

Mailing address

149 Thompson Ave E
Suite # 207
Saint Paul, MN 55118-3238
Phone (651) 552-7764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

149 Thompson Ave E
Ste 207
Saint Paul, MN 55118
Phone (651) 552-7764

NPI Registry JSON

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229385600000",
    "number": "1275779522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 THOMPSON AVE E",
            "address_2": "SUITE # 207",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551183238",
            "telephone_number": "651-552-7764",
            "fax_number": "651-552-9051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 THOMPSON AVE E",
            "address_2": "SUITE # 207",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551183238",
            "telephone_number": "651-552-7764",
            "fax_number": "651-552-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMAD HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-16",
        "last_updated": "2008-12-16",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "ASH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-552-7764",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "HE-01084-04",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.