Face 2 Face Home Health Care LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

FACE 2 FACE HOME HEALTH CARE LLC

Practice address

5747 W Broadway Ave Ste 102
Crystal, MN 55428-3549

Phone

(952) 583-9793

NPI assigned

Oct 27, 2015

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mubin Mohammed Hussein

Title

Manger/Ceo

Phone

(952) 583-9793

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497127666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5747 W BROADWAY AVE STE 102",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554283549",
            "telephone_number": "952-583-9793",
            "fax_number": "763-592-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5747 W BROADWAY AVE STE 102",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554283549",
            "telephone_number": "952-583-9793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACE 2 FACE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HUSSEIN",
        "authorized_official_first_name": "MUBIN",
        "authorized_official_middle_name": "MOHAMMED",
        "authorized_official_title_or_position": "MANGER/CEO",
        "authorized_official_telephone_number": "952-583-9793",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A058192100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.