Active NPI
Capital Home Health Care LLC
- Home Health Agency
- Minneapolis, MN
National Provider Identifier
1487199139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 28840
- Legal business name
- CAPITAL HOME HEALTH CARE LLC
- Practice address
- 34 13TH Ave NE Ste B004
Minneapolis, MN 55413-1084 - Phone
- (612) 886-7411
- NPI assigned
- Jan 4, 2017
- 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
- Sadik Bashir
- Title
- Director
- Phone
- (612) 886-7411
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 28840 | MN | Primary |
Addresses
Primary practice location
34 13TH Ave NE Ste B004
Minneapolis, MN 55413-1084
Mailing address
34 13TH Ave NE Suit B004
Minneapolis, MN 55413
Phone (612) 886-7411
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A13774300 | Medicaid | MN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1483488000000",
"number": "1487199139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 13TH AVE NE SUIT B004",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55413",
"telephone_number": "612-886-7411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34 13TH AVE NE STE B004",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554131084",
"telephone_number": "612-886-7411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAPITAL HOME HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-04",
"last_updated": "2017-01-04",
"status": "A",
"authorized_official_last_name": "BASHIR",
"authorized_official_first_name": "SADIK",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "612-886-7411"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MN",
"license": "28840",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A13774300",
"state": "MN"
}
],
"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 Jan 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.