Sky Home Health LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SKY HOME HEALTH LLC

Practice address

534 Huset Pkwy NE
Columbia Heights, MN 55421-5030

Phone

(612) 405-3025

NPI assigned

Aug 14, 2025

Organization subpart

No

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

Authorized official

Name

Abdirahman Abdirisak

Title

Owner

Phone

(612) 405-3025

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755129600000",
    "number": "1447136379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 HUSET PKWY NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554215030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 HUSET PKWY NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554215030",
            "telephone_number": "612-405-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A",
        "authorized_official_last_name": "ABDIRISAK",
        "authorized_official_first_name": "ABDIRAHMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-405-3025"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Columbia Heights, MN
• Providers in Columbia Heights, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.