Zamzam Shoodeh

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

450797000024 Issued in MN

Practice address

207 E Lake St
201
Minneapolis, MN 55408-2473

Phone

(612) 216-1511

Fax

(612) 465-6621

NPI assigned

Apr 18, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Care Home Health, Inc

  • Home Health Agency
  • Minneapolis, MN
  • NPI 1689015596
  NPD (past)

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397779200000",
    "number": "1487074282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 E LAKE ST",
            "address_2": "201",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082473",
            "telephone_number": "612-216-1511",
            "fax_number": "612-465-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E LAKE ST",
            "address_2": "201",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082473",
            "telephone_number": "612-216-1511",
            "fax_number": "612-465-6621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOODEH",
        "first_name": "ZAMZAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-18",
        "last_updated": "2014-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "450797000024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Phillip Shold, LMFT
• Suzanne M. Sholl, CRNA
• Darlene M Sholtis
• Julie J Shomin, CRNA
• Brenda Aika Shoo, M.D.
• Kelly M Shook, AU.D.
• Matthew Merritt Shore, MSW, LICSW
• Rebecca L Shore, LICSW
• Madhuri Kasat Shors, M.D., M.P.H.
• Brenda Short

• Home Health Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.