Abc Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ABC HEALTH LLC

Doing business as

ABC Health LLC

Practice address

2541 42ND Ave S
Saint Cloud, MN 56301-5489

Phone

(320) 282-3245

Fax

(320) 205-0668

NPI assigned

May 11, 2020

Last updated

May 11, 2020By 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. Mahad MursalNPI 1295278273

Title

Owner

Phone

(320) 282-3245

Specialties & licenses 1

Addresses

Other names 1

• ABC Health LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mahad Mursal I

  • Community Health Worker
  • Saint Cloud, MN
  • NPI 1295278273
  NPD Authorized official

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589155200000",
    "number": "1497377634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2541 42ND AVE S",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563015489",
            "telephone_number": "320-282-3245",
            "fax_number": "320-205-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2541 42ND AVE S",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563015489",
            "telephone_number": "320-282-3245",
            "fax_number": "320-205-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABC HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-11",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A",
        "authorized_official_last_name": "MURSAL",
        "authorized_official_first_name": "MAHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "320-282-3245",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ABC Health LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Saint Cloud, MN
• Providers in Saint Cloud, 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 May 11, 2020; 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.