Mid Home Care LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

Legal business name

MID HOME CARE LLC

Practice address

1813 S 6TH St Unit 204
Minneapolis, MN 55454-1208

Phone

(612) 814-1465

NPI assigned

Feb 15, 2024

Last updated

Feb 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hibo Sabriye

Title

Owner

Phone

(612) 814-1465

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1707955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707955200000",
    "number": "1356106678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3029 22ND AVE S UNIT 503",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554075029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1813 S 6TH ST UNIT 204",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541208",
            "telephone_number": "612-814-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-15",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A",
        "authorized_official_last_name": "SABRIYE",
        "authorized_official_first_name": "HIBO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-814-1465"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher A Mickelson, M.D.
• Laura A Mickelson, PHD, RN
• Rachel Mickelson
• Ross G Mickelson, LPCC
• Deborah Elaine Mickley
• Midcare
• Joanne Marie Middaugh, MSW, LICSW
• Middle English Incorporated
• Hanna Claire Middlebrook, CNP, WHNP-BC
• Kelsey Middlestaedt, DNP, APRN, FNP-C

• Preferred Provider Organization in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Preferred Provider Organization in Minnesota

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