Organization Active NPI

Ag Home Health Care, LLC

  • Home Health Agency
  • Lakeville, MN
National Provider Identifier
1619651957
Registry record updated Aug 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AG HOME HEALTH CARE, LLC
Practice address
20765 Holyoke Ave
Lakeville, MN 55044-9825
Phone
(651) 615-4148
NPI assigned
Jun 14, 2023
Last updated
Aug 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2025

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

Authorized official

Name
Anab Adan Gulaid, MPA
Title
Administrator
Phone
(651) 370-8055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

20765 Holyoke Ave
Lakeville, MN 55044-9825

Mailing address

15831 Griffon Path
Apple Valley, MN 55124-6661
Phone (651) 370-8055

National Provider Directory

National Provider Directory

Locations

20765 Holyoke Ave
Lakeville, MN 55044
Phone (651) 615-4148

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754784000000",
    "number": "1619651957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15831 GRIFFON PATH",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551246661",
            "telephone_number": "651-370-8055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20765 HOLYOKE AVE",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449825",
            "telephone_number": "651-615-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AG HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2025-08-10",
        "certification_date": "2025-08-10",
        "status": "A",
        "authorized_official_last_name": "GULAID",
        "authorized_official_first_name": "ANAB",
        "authorized_official_middle_name": "ADAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "651-370-8055",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2025; 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.