Organization Active NPI

Reachablehealthservices

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1376300038
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
REACHABLEHEALTHSERVICES
Practice address
2101 Washtington St NE
213
Minneapolis, MN 55418
Phone
(612) 501-9480
NPI assigned
Feb 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Mr. Mohamed Deq Derie
Title
Owner
Phone
(612) 501-9480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2101 Washtington St NE
213
Minneapolis, MN 55418

Mailing address

2101 Washington St NE Apt 213
Minneapolis, MN 55418-4450
Phone (612) 501-9480

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1376300038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 WASHINGTON ST NE APT 213",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554184450",
            "telephone_number": "612-501-9480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 WASHTINGTON ST NE",
            "address_2": "213",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55418",
            "telephone_number": "612-501-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REACHABLEHEALTHSERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-27",
        "status": "A",
        "authorized_official_last_name": "DERIE",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "DEQ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-501-9480",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Feb 29, 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.