Rajo Care Home Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

RAJO CARE HOME INC

Practice address

14015 Rockford Rd
Plymouth, MN 55447

Phone

(612) 859-6065

Fax

(952) 479-9540

NPI assigned

Jan 2, 2018

Last updated

Jul 17, 2018By 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

Said Abdulkadir Barre

Title

President

Phone

(612) 859-6065

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1497262224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14015 ROCKFORD RD",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554475454",
            "telephone_number": "612-859-6065",
            "fax_number": "952-479-9540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14015 ROCKFORD RD",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "55447",
            "telephone_number": "612-859-6065",
            "fax_number": "952-479-9540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 west Lake st suite 165",
            "address_2": "Unit 3",
            "address_purpose": "LOCATION",
            "city": "minneapolis",
            "state": "MN",
            "postal_code": "55408",
            "country_code": "US",
            "telephone_number": "612-859-6065",
            "fax_number": "952-479-9540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAJO CARE HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "BARRE",
        "authorized_official_first_name": "SAID",
        "authorized_official_middle_name": "ABDULKADIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-859-6065"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "33495",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Plymouth, MN
• Providers in Plymouth, 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 Jul 17, 2018; 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.