Organization Active NPI

Pillar Pca LLC

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1508473216
Registry record updated Sep 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PILLAR PCA LLC
Practice address
1701 Como Ave SE
Minneapolis, MN 55414-2426
Phone
(612) 394-9475
NPI assigned
Sep 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2020

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

Authorized official

Name
Mohamud Abdisalan Isse
Title
Owner/Director
Phone
(612) 394-9475

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1701 Como Ave SE
Minneapolis, MN 55414-2426

Mailing address

1701 Como Ave SE
Minneapolis, MN 55414-2426
Phone (612) 394-9475

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1601078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601078400000",
    "number": "1508473216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 COMO AVE SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554142426",
            "telephone_number": "612-394-9475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 COMO AVE SE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554142426",
            "telephone_number": "612-394-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PILLAR PCA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-26",
        "last_updated": "2020-09-26",
        "certification_date": "2020-09-26",
        "status": "A",
        "authorized_official_last_name": "ISSE",
        "authorized_official_first_name": "MOHAMUD",
        "authorized_official_middle_name": "ABDISALAN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "612-394-9475"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 26, 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.