Organization Active NPI

Capital Home Health Care LLC

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1487199139
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
28840 Issued in MN
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

Updated by the provider on Jan 4, 2017

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
A13774300MedicaidMN

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.