Organization Active NPI

Cosmo Home Healthcare Services, L.L.C.

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1639612765
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
379558 Issued in MN
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

Updated by the provider on Sep 23, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.