Organization Active NPI

Homestead Homecare LLC

  • In Home Supportive Care Agency
  • Moorhead, MN
National Provider Identifier
1578281515
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HOMESTEAD HOMECARE LLC
Practice address
3505 8TH St S Ste 8
Moorhead, MN 56560-5108
Phone
(701) 306-3559
NPI assigned
Aug 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Authorized official

Name
Rabiu Ibrahim Rabiu
Title
Owner
Phone
(701) 306-3559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3505 8TH St S Ste 8
Moorhead, MN 56560-5108

Mailing address

3505 8TH St S Ste 8
Moorhead, MN 56560-5108
Phone (701) 306-3559

National Provider Directory

National Provider Directory

Locations

3505 8th St S
Ste 8
Moorhead, MN 56560
Phone (701) 306-3559

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660608000000",
    "number": "1578281515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 8TH ST S STE 8",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605108",
            "telephone_number": "701-306-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 8TH ST S STE 8",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605108",
            "telephone_number": "701-306-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A",
        "authorized_official_last_name": "RABIU",
        "authorized_official_first_name": "RABIU",
        "authorized_official_middle_name": "IBRAHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-306-3559"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 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.