Organization Active NPI

Greenery Home Care LLC

  • In Home Supportive Care Agency
  • Minneapolis, MN
National Provider Identifier
1306617550
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GREENERY HOME CARE LLC
Practice address
1842 Central Ave NE Ste 1
Minneapolis, MN 55418-4541
Phone
(763) 647-4040
NPI assigned
Jan 15, 2024
Last updated
Jan 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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

Authorized official

Name
Abdifatah Mohamed
Title
Owner
Phone
(763) 647-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1842 Central Ave NE Ste 1
Minneapolis, MN 55418-4541

Mailing address

1842 Central Ave NE Ste 1
Minneapolis, MN 55418-4541
Phone (763) 647-4040

National Provider Directory

National Provider Directory

Locations

1842 Central Ave NE
Ste 1
Minneapolis, MN 55418
Phone (763) 647-4040

NPI Registry JSON

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

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705276800000",
    "number": "1306617550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 CENTRAL AVE NE STE 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554184541",
            "telephone_number": "763-647-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 CENTRAL AVE NE STE 1",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554184541",
            "telephone_number": "763-647-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENERY HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "ABDIFATAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-647-4040"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive 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 Jan 15, 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.