Organization Active NPI

A&H Skilled Nursing Healthcare LLC

  • Registered Nurse
  • Plymouth, MN
National Provider Identifier
1396394847
Registry record updated Sep 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
A&H SKILLED NURSING HEALTHCARE LLC
Practice address
11420 42ND PL N
Plymouth, MN 55441-1904
Phone
(612) 444-0864
NPI assigned
Sep 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2019

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

Authorized official

Name
Amaal Abdi Mohamud, RNNPI 1811547029
Title
Nurse Educator
Phone
(763) 318-7183

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X Primary

Addresses

Primary practice location

11420 42ND PL N
Plymouth, MN 55441-1904

Mailing address

11420 42ND PL N
Plymouth, MN 55441-1904
Phone (612) 444-0864

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1567814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567814400000",
    "number": "1396394847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11420 42ND PL N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554411904",
            "telephone_number": "612-444-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11420 42ND PL N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554411904",
            "telephone_number": "612-444-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&H SKILLED NURSING HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-07",
        "last_updated": "2019-09-07",
        "status": "A",
        "authorized_official_last_name": "ABDI MOHAMUD",
        "authorized_official_first_name": "AMAAL",
        "authorized_official_title_or_position": "NURSE EDUCATOR",
        "authorized_official_telephone_number": "763-318-7183",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.