Organization Active NPI

South Home Health Care LLC

  • Home Health Agency
  • Roseville, MN
National Provider Identifier
1336837038
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SOUTH HOME HEALTH CARE LLC
Doing business as
South Home Health Care LLC
Practice address
2740 Fairview Ave N Unit 303
Roseville, MN 55113-1370
Phone
(612) 666-2971
NPI assigned
May 1, 2023
Last updated
May 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Authorized official

Name
Muhammad Omar
Title
Owner
Phone
(612) 666-2971

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2740 Fairview Ave N Unit 303
Roseville, MN 55113-1370

Mailing address

2740 Fairview Ave N Unit 303
Roseville, MN 55113-1370

Other names 1

  • SOUTH HOME HEALTH CARE LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682899200000",
    "number": "1336837038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 FAIRVIEW AVE N UNIT 303",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 FAIRVIEW AVE N UNIT 303",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131370",
            "telephone_number": "612-666-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-29",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-666-2971"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SOUTH HOME HEALTH CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roseville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; 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.