Active NPI
Ag Home Health Care, LLC
- Home Health Agency
- Lakeville, MN
National Provider Identifier
1619651957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.