Active NPI
Cosmo Home Healthcare Services, L.L.C.
- Home Health Agency
- Minneapolis, MN
National Provider Identifier
1639612765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 379558
- Legal business name
- COSMO HOME HEALTHCARE SERVICES, L.L.C.
- Practice address
- 2219 Oakland Ave S
Suite 104
Minneapolis, MN 55404 - Phone
- (612) 314-2045
- Fax
- (612) 314-8022
- NPI assigned
- Nov 21, 2016
- 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
- Abdulkadir Mohamed Shire
- Title
- Co-Owner
- Phone
- (612) 735-5598
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 379558 | MN | Primary |
Addresses
Primary practice location
2219 Oakland Ave S
Suite 104
Minneapolis, MN 55404
Mailing address
2219 Oakland Ave S
Suite 104
Minneapolis, MN 55404-3749
Phone (612) 314-2045
National Provider Directory
National Provider DirectoryLocations
393 Dunlap St N
Ste 450A
Saint Paul, MN 55104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600819200000",
"number": "1639612765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2219 OAKLAND AVE S",
"address_2": "SUITE 104",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554043749",
"telephone_number": "612-314-2045",
"fax_number": "612-314-8022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2219 OAKLAND AVE S",
"address_2": "SUITE 104",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55404",
"telephone_number": "612-314-2045",
"fax_number": "612-314-8022"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COSMO HOME HEALTHCARE SERVICES, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-21",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A",
"authorized_official_last_name": "SHIRE",
"authorized_official_first_name": "ABDULKADIR",
"authorized_official_middle_name": "MOHAMED",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "612-735-5598"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MN",
"license": "379558",
"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 Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.