Organization Active NPI

Anoka Professional HH Inc

  • Home Health Agency
  • Columbia Heights, MN
National Provider Identifier
1336583582
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
835147300038 Issued in MN
Legal business name
ANOKA PROFESSIONAL HH INC
Practice address
4211 Central Ave NE
Columbia Heights, MN 55421
Phone
(763) 754-4885
Fax
(763) 754-1023
NPI assigned
Apr 18, 2013
Last updated
Jul 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Authorized official

Name
Jemal Yusuf
Title
Ceo
Phone
(763) 754-4885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 835147300038 MN Primary

Addresses

Primary practice location

4211 Central Ave NE
Columbia Heights, MN 55421

Mailing address

4211 Central Ave NE
Columbia Heights, MN 55421-2921
Phone (763) 754-4885

Other identifiers 2

IdentifierTypeStateIssuer
M243628700OtherMNUMPI
A642915100OtherMNUMPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1366243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1336583582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4211 CENTRAL AVE NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554212921",
            "telephone_number": "763-754-4885",
            "fax_number": "763-754-1023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 CENTRAL AVE NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "55421",
            "telephone_number": "763-754-4885",
            "fax_number": "763-754-1023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANOKA PROFESSIONAL HH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-18",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "YUSUF",
        "authorized_official_first_name": "JEMAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "763-754-4885"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "835147300038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMPI",
            "identifier": "M243628700",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMPI",
            "identifier": "A642915100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; 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.