Organization Active NPI

Madina Health Care LLC

  • Nursing Care Agency
  • Minneapolis, MN
National Provider Identifier
1285337774
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
MADINA HEALTH CARE LLC
Practice address
2021 E Hennepin Ave # 200-12
Minneapolis, MN 55413-2700
Phone
(505) 306-2124
Fax
(612) 259-7903
NPI assigned
Mar 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Authorized official

Name
Ms. Khadiija Haji Ali, RN
Title
Owner
Phone
(505) 306-2124

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

2021 E Hennepin Ave # 200-12
Minneapolis, MN 55413-2700

Mailing address

2021 E Hennepin Ave # 200-12
Minneapolis, MN 55413-2700
Phone (505) 306-2124

National Provider Directory

National Provider Directory

Locations

2021 E Hennepin Ave
#20012
Minneapolis, MN 55413
Phone (505) 306-2124

NPI Registry JSON

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

{
    "created_epoch": "1679529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1285337774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 E HENNEPIN AVE # 200-12",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132700",
            "telephone_number": "505-306-2124",
            "fax_number": "612-259-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 E HENNEPIN AVE # 200-12",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554132700",
            "telephone_number": "505-306-2124",
            "fax_number": "612-259-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADINA HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-23",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "KHADIIJA",
        "authorized_official_middle_name": "HAJI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-306-2124",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 23, 2023; 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.