Active NPI
Hayu Home Health LLC
- Home Health Agency
- Roseville, MN
National Provider Identifier
1386450369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.