Organization Active NPI

Daryeel Homecare LLC

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1639698178
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
DARYEEL HOMECARE LLC
Practice address
2931 E Lake St Ste 203
Minneapolis, MN 55406-2691
Phone
(602) 323-4873
NPI assigned
Sep 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Abdirazaq Mohamed IbrahimNPI 1326505686
Title
Owner
Phone
(602) 323-4873

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2931 E Lake St Ste 203
Minneapolis, MN 55406-2691

Mailing address

1106 County Road D W Apt 23
New Brighton, MN 55112-7583
Phone (602) 323-4873

National Provider Directory

National Provider Directory

Locations

2931 E Lake St
Ste 203
Minneapolis, MN 55406
Phone (602) 323-4873

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1639698178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 COUNTY ROAD D W APT 23",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551127583",
            "telephone_number": "602-323-4873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 E LAKE ST STE 203",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062691",
            "telephone_number": "602-323-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARYEEL HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "ABDIRAZAQ",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-323-4873"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "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 21, 2022; 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.