Organization Active NPI

Prudent Care LLC

  • Home Health Agency
  • Vadnais Heights, MN
National Provider Identifier
1578054938
Registry record updated Nov 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
33866 Issued in MN
Legal business name
PRUDENT CARE LLC
Practice address
3603 Centerville Rd
Vadnais Heights, MN 55127-7122
Phone
(612) 889-1987
NPI assigned
May 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2018

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

Authorized official

Name
Yasin Farah MohamedNPI 1538998257
Title
Owner
Phone
(612) 889-1987

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 33866 MN Primary
Nursing Care Agency 251J00000X 33866 MN
In Home Supportive Care Agency 253Z00000X 33866 MN
Assisted Living Facility 310400000X
Home Delivered Meals 332U00000X 33866 MN

Addresses

Primary practice location

3603 Centerville Rd
Vadnais Heights, MN 55127-7122

Mailing address

3603 Centerville Rd
Vadnais Heights, MN 55127-7122
Phone (612) 889-1987

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542240000000",
    "number": "1578054938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3603 CENTERVILLE RD",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551277122",
            "telephone_number": "612-889-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3603 CENTERVILLE RD",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551277122",
            "telephone_number": "612-889-1987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRUDENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-11-15",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "YASIN",
        "authorized_official_middle_name": "FARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-889-1987"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "33866",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MN",
            "license": "33866",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MN",
            "license": "33866",
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "MN",
            "license": "33866",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vadnais Heights, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2018; 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.