Organization Active NPI

Shaba Health Services Corp

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1639424393
Registry record updated Jul 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
A977935000 Issued in MN
Legal business name
SHABA HEALTH SERVICES CORP
Practice address
617 Cedar Ave S
A
Minneapolis, MN 55454-1220
Phone
(612) 867-9699
Fax
(612) 354-7152
NPI assigned
Jul 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2012

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

Authorized official

Name
Mr. Abdullahi Said Shaba
Title
Director
Phone
(612) 867-9699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X A977935000 MN Primary

Addresses

Primary practice location

617 Cedar Ave S
A
Minneapolis, MN 55454-1220

Mailing address

617 Cedar Ave S
A
Minneapolis, MN 55454-1220
Phone (612) 867-9699

National Provider Directory

National Provider Directory

Locations

617 Cedar Ave S
Ste A
Minneapolis, MN 55454
Phone (612) 867-9699

NPI Registry JSON

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1639424393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 CEDAR AVE S",
            "address_2": "A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541220",
            "telephone_number": "612-867-9699",
            "fax_number": "612-354-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "617 CEDAR AVE S",
            "address_2": "A",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541220",
            "telephone_number": "612-867-9699",
            "fax_number": "612-354-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHABA HEALTH SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "SHABA",
        "authorized_official_first_name": "ABDULLAHI",
        "authorized_official_middle_name": "SAID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-867-9699",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "A977935000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.