Minnesota Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MINNESOTA HOME HEALTH CARE LLC

Practice address

534 Huset Parkway
Columbia Heights, MN 55421

Phone

(612) 940-9829

NPI assigned

Aug 5, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Abdiweli Mohamud Sr.

Title

Owner

Phone

(612) 940-9829

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1501891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1508381047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 HUSET PKWY NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554215030",
            "telephone_number": "612-940-9829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 HUSET PARKWAY",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "55421",
            "telephone_number": "612-940-9829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-05",
        "last_updated": "2022-07-21",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "MOHAMUD",
        "authorized_official_first_name": "ABDIWELI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-940-9829",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.