NPIMap

Organization Active NPI

Grand Home Health Serive Inc

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1285476283
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GRAND HOME HEALTH SERIVE INC
Practice address
3617 E Lake St Ste B
Minneapolis, MN 55406-2148
Phone
(651) 502-3807
NPI assigned
Jun 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Hussein Ismail MohamedNPI 1013759018
Title
Manger
Phone
(651) 502-3807

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3617 E Lake St Ste B
Minneapolis, MN 55406-2148

Mailing address

3617 E Lake St Ste B
Minneapolis, MN 55406-2148
Phone (651) 502-3807

Other names 1

  • GRAND HOME HEALTH SERIVE INC Doing business as

National Provider Directory

National Provider Directory

Locations

3617 E Lake St
Ste B
Minneapolis, MN 55406
Phone (612) 216-2116

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1285476283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 E LAKE ST STE B",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062148",
            "telephone_number": "651-502-3807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 E LAKE ST STE B",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062148",
            "telephone_number": "651-502-3807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAND HOME HEALTH SERIVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_middle_name": "ISMAIL",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "651-502-3807"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRAND HOME HEALTH SERIVE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 10, 2024; 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.