Abdirizak M Bille

Individual provider Active NPI Home Health Aide · New Brighton, MN

NPI 1437936713 · NPPES record last updated Sep 11, 2023

Key facts

NPI
1437936713
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
Practice address
1403 Silver Lake Rd NW Ste 5
New Brighton, MN 55112-9310
Phone
(176) 332-7478
NPI assigned
Sep 11, 2023
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X Yes

Addresses

Primary practice location

1403 Silver Lake Rd NW Ste 5
New Brighton, MN 55112-9310

Mailing address

1403 Silver Lake Rd NW Ste 5
New Brighton, MN 55112-9310
Phone (176) 332-7478

Other providers in New Brighton, MN

All providers in New Brighton, MN · Home Health Aide in Minnesota

Sources for this page

Verify at the official NPI Registry.