Hamdi Ali Mohamed

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

394113 Issued in MN

Practice address

1527 Morgan Ave N
Minneapolis, MN 55411-3013

Phone

(612) 963-2576

Fax

(612) 238-8055

NPI assigned

Apr 21, 2020

Last updated

Apr 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Redesign Lifestyle Care LLC

  • Assisted Living Facility
  • Minneapolis, MN
  • NPI 1922628874
  NPD Authorized official

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1548880479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 MORGAN AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554113013",
            "telephone_number": "612-963-2576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 MORGAN AVE N",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554113013",
            "telephone_number": "612-963-2576",
            "fax_number": "612-238-8055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "HAMDI",
        "middle_name": "ALI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "394113",
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "MN",
            "license": "394113",
            "primary": true
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "MN",
            "license": "394113",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Habon Abdullahi Mohamed
• Hadsan Abdimalik Mohamed
• Hamda Abdiweli Mohamed
• Hamdi A Mohamed
• Hamdi Abduqadir Mohamed
• Hamza Mohamed
• Hani Mohamed
• Hayat Daud Mohamed
• Hibaq I Mohamed, DDS
• Ifrah Yusuf Mohamed

• Assisted Living Facility (Mental Illness) in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Assisted Living Facility (Mental Illness) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.