Organization Active NPI

Hayu Home Health LLC

  • Home Health Agency
  • Roseville, MN
National Provider Identifier
1386450369
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HAYU HOME HEALTH LLC
Practice address
1690 Highway 36 W Apt 124
Roseville, MN 55113-4041
Phone
(612) 404-7969
NPI assigned
Dec 5, 2024
Last updated
Dec 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Gelmo Abrahim
Title
Co-Owner
Phone
(612) 404-7969

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
In Home Supportive Care Agency 253Z00000X NU

Addresses

Primary practice location

1690 Highway 36 W Apt 124
Roseville, MN 55113-4041

Mailing address

1690 Highway 36 W Apt 124
Roseville, MN 55113-4041
Phone (612) 404-7969

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1386450369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 HIGHWAY 36 W APT 124",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134041",
            "telephone_number": "612-404-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 HIGHWAY 36 W APT 124",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551134041",
            "telephone_number": "612-404-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYU HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "ABRAHIM",
        "authorized_official_first_name": "GELMO",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "612-404-7969"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 5, 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.