Kowkab Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

KOWKAB HOME HEALTH CARE LLC

Practice address

5724 Perry Ave N
Crystal, MN 55429-2831

Phone

(612) 245-9169

NPI assigned

Feb 28, 2024

Organization subpart

No

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

Authorized official

Name

Hawa Abdulkadir Giama

Title

Owner

Phone

(612) 245-9169

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1548027311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5724 PERRY AVE N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554292831",
            "telephone_number": "612-245-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5724 PERRY AVE N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554292831",
            "telephone_number": "612-245-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOWKAB HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "GIAMA",
        "authorized_official_first_name": "HAWA",
        "authorized_official_middle_name": "ABDULKADIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-245-9169"
    },
    "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 Mar 4, 2024; 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.