Aspen Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ASPEN HOME HEALTH CARE

Practice address

8525 Edithbrook Crossing
Suite 104a
Brooklyn Park, MN 55443-1900

Phone

(612) 876-1913

Fax

(763) 205-1584

NPI assigned

Feb 28, 2019

Organization subpart

No

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

Authorized official

Name

Fathia MoussaNPI 1811856305

Title

Owner

Phone

(612) 876-1913

Specialties & licenses 4

Addresses

Other names 1

• Aspen Home Health Care INC. Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Home health agency certification: CCN 248160

Legal name

ASPEN HOME HEALTH CARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 11, 2023

Last certification

Jan 11, 2023

Organization structure

CorporationProprietary

Incorporated

Oct 19, 2018 in MN

Enrollment address

8525 Edinbrook Xing
Ste 104a
Brooklyn Park, MN 55443-1967

Listed as

Aspen Home Health Care IncCCN 248160

Ownership

-

Certified

Jan 11, 2023

Medicare certification status

ActiveFrom the Provider of Services file

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fathia Moussa, CNP

  • Primary Care Nurse Practitioner
  • Brooklyn Park, MN
  • NPI 1811856305
  NPD Authorized official

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1386101129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 EDITHBROOK CROSSING",
            "address_2": "SUITE 104A",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431900",
            "telephone_number": "612-876-1913",
            "fax_number": "763-205-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 EDITHBROOK CROSSING",
            "address_2": "SUITE 104A",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431900",
            "telephone_number": "612-876-1913",
            "fax_number": "763-205-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "MOUSSA",
        "authorized_official_first_name": "FATHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-876-1913"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Home Health Care INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.