Organization Active NPI

Elite Quality Services, LLC

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1336702000
Registry record updated Apr 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ELITE QUALITY SERVICES, LLC
Practice address
3555 Main St NE
Minneapolis, MN 55418-1144
Phone
(952) 465-1522
NPI assigned
Apr 18, 2019
Organization subpart
Yes
Parent organization
ELITE QUALITY SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 18, 2019

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

Authorized official

Name
Mrs. Muna Mohamed Jama, RN, BSN
Title
Registered Nurse
Phone
(952) 465-1522

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Community Based Hospice Care Agency 251G00000X

Addresses

Primary practice location

3555 Main St NE
Minneapolis, MN 55418-1144

Mailing address

3555 Main St NE
Minneapolis, MN 55418-1144
Phone (952) 465-1522

National Provider Directory

National Provider Directory
Part of
Elite Quality Services LLC

NPI Registry JSON

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555545600000",
    "number": "1336702000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3555 MAIN ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554181144",
            "telephone_number": "952-465-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3555 MAIN ST NE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554181144",
            "telephone_number": "952-465-1522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE QUALITY SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELITE QUALITY SERVICES, LLC",
        "enumeration_date": "2019-04-18",
        "last_updated": "2019-04-18",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "MUNA",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "REGISTERED  NURSE",
        "authorized_official_telephone_number": "952-465-1522",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 18, 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.