Active NPI
Sifu Health LLC
- Home Health Agency
- Roseville, MN
National Provider Identifier
1457978355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SIFU HEALTH LLC
- Practice address
- 1446 County Road B W
Roseville, MN 55113-4213 - Phone
- (763) 445-1409
- Fax
- (651) 286-3300
- NPI assigned
- Jun 26, 2020
- 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
- Hayu Abdulle
- Title
- Director
- Phone
- (763) 445-1409
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary | ||
| Nursing Care Agency | 251J00000X |
Addresses
Primary practice location
1446 County Road B W
Roseville, MN 55113-4213
Mailing address
311 Evergreen LN
Circle Pines, MN 55014-7012
Phone (763) 445-1409
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610323200000",
"number": "1457978355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "311 EVERGREEN LN",
"city": "CIRCLE PINES",
"state": "MN",
"postal_code": "550147012",
"telephone_number": "763-445-1409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1446 COUNTY ROAD B W",
"city": "ROSEVILLE",
"state": "MN",
"postal_code": "551134213",
"telephone_number": "763-445-1409",
"fax_number": "651-286-3300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIFU HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-26",
"last_updated": "2021-01-11",
"certification_date": "2021-01-11",
"status": "A",
"authorized_official_last_name": "ABDULLE",
"authorized_official_first_name": "HAYU",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "763-445-1409"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"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 Jan 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.