Hiddo Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

M817281100 Issued in MN

Legal business name

HIDDO HOME HEALTH CARE LLC

Practice address

1619 Eastwood Rd SE
Rochester, MN 55904-5168

Phone

(507) 319-7168

Fax

(507) 206-6154

NPI assigned

Aug 31, 2010

Organization subpart

No

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

Authorized official

Name

Mohamud Ali Nur

Title

Owner

Phone

(507) 319-7168

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283212800000",
    "number": "1275849044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1619 EASTWOOD ROAD SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "55904",
            "telephone_number": "507-319-7168",
            "fax_number": "507-206-6154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 EASTWOOD RD SE",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559045168",
            "telephone_number": "507-319-7168",
            "fax_number": "507-206-6154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDO HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-31",
        "last_updated": "2010-08-31",
        "status": "A",
        "authorized_official_last_name": "NUR",
        "authorized_official_first_name": "MOHAMUD",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-319-7168"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "M817281100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M817281100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Drew Charles Hicks
• James Scott Hicks, LAC
• Kaitlyn Amber Hicks, MT-BC
• Lolita Hicks, DDS
• Krystin Alane Hidden, M.D.
• Tina J Hieken, M.D.
• Megan Hietala, MT-BC
• Alexandra Higgins
• Courtney Kaylee Higgins, PA-C
• Eibhlin M Higgins, MD

• Home Health Agency in Rochester, MN
• Providers in Rochester, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2010; 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.