Active NPI
Samad Home Health Care, LLC
- Home Health Agency
- Saint Paul, MN
National Provider Identifier
1275779522
On this page
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.
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HE-01084-04
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.