Abdirazaq Ibrahim

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Practice address

2931 E Lake St # at
Minneapolis, MN 55406-2614

Phone

(602) 323-4873

NPI assigned

Feb 22, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Daryeel Homecare LLC

  • Home Health Agency
  • Minneapolis, MN
  • NPI 1639698178
  NPD Authorized official
• Moonlight Support Services LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Roseville, MN
  • NPI 1164055026
  NPD Authorized official

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550793600000",
    "number": "1326505686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 COUNTY ROAD D W APT 230",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551127521",
            "telephone_number": "602-323-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 E LAKE ST # AT",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062614",
            "telephone_number": "602-323-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IBRAHIM",
        "first_name": "ABDIRAZAQ",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-22",
        "last_updated": "2019-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gretchen M Ibele, MD
• Conrad Iber, MD
• Titilope Grace Ibiwoye
• Tanya Ibragic, LP
• Abdelrahman Ibrahim
• Abdirizak Ibrahim
• Abdulkadir Ibrahim
• Abdullahi Ibrahim
• Abdullahi Hussein Ibrahim
• Abdurahman Dahir Ibrahim

• Home Health Agency in Minneapolis, MN
• Providers in Minneapolis, 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 Feb 22, 2019; 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.