Advanced Home Health Care LLC

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

ADVANCED HOME HEALTH CARE LLC

Practice address

4201 Main St NE
Columbia Heights, MN 55421-2767

Phone

(763) 438-6764

Fax

(612) 486-8841

NPI assigned

Feb 1, 2019

Organization subpart

No

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

Authorized official

Name

Abdifatah Dirie

Title

Owner

Phone

(763) 438-6764

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Advanced Home Health Care LLC Doing business as

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1356806541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 MAIN ST NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554212767",
            "telephone_number": "763-438-6764",
            "fax_number": "612-486-8841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 MAIN ST NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554212767",
            "telephone_number": "763-438-6764",
            "fax_number": "612-486-8841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "DIRIE",
        "authorized_official_first_name": "ABDIFATAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-438-6764"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPREHENSIVE HOME CARELLC",
            "identifier": "389245",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Home Health Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Aide in Columbia Heights, MN
• Providers in Columbia Heights, MN by specialty
• Home Health Aide in Minnesota

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