Organization Active NPI

Full Circle Home Health LLC

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1407600885
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FULL CIRCLE HOME HEALTH LLC
Practice address
322 W Lake St Ste 202
Minneapolis, MN 55408-5202
Phone
(952) 564-0339
NPI assigned
Apr 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Authorized official

Name
Dr. Hidayo Adan Elmi, DDSNPI 1497258982
Title
Owner
Phone
(952) 564-0339

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
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

322 W Lake St Ste 202
Minneapolis, MN 55408-5202

Mailing address

PO Box 18663
Saint Paul, MN 55118-0663
Phone (952) 564-0339

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2326731Full- Circle Home Health, LLC322 W Lake Street, Suite 202, Minneapolis, MN 55408Certificate of waiverJul 8, 2027

National Provider Directory

National Provider Directory

Locations

322 W Lake St
Ste 202
Minneapolis, MN 55408
Phone (952) 564-0339

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": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1407600885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18663",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551180663",
            "telephone_number": "952-564-0339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 W LAKE ST STE 202",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554085202",
            "telephone_number": "952-564-0339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-12",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "ELMI",
        "authorized_official_first_name": "HIDAYO",
        "authorized_official_middle_name": "ADAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-564-0339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "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 Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.