Bana Elderly Care LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

3716008-2 Issued in MN

Legal business name

BANA ELDERLY CARE LLC

Practice address

2109 Nicollet Ave Ste 104
Minneapolis, MN 55404-3279

Phone

(612) 235-4487

Fax

(612) 871-2372

NPI assigned

Feb 16, 2010

Organization subpart

No

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

Authorized official

Name

Osman Abdulwahid

Title

Owner

Phone

(612) 235-4487

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1266278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266278400000",
    "number": "1659693794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 NICOLLET AVE STE 104",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043279",
            "telephone_number": "612-235-4487",
            "fax_number": "612-871-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 NICOLLET AVE STE 104",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043279",
            "telephone_number": "612-235-4487",
            "fax_number": "612-871-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BANA ELDERLY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-16",
        "last_updated": "2010-02-16",
        "status": "A",
        "authorized_official_last_name": "ABDULWAHID",
        "authorized_official_first_name": "OSMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-235-4487"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MN",
            "license": "3716008-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danica Balsiger, MD
• Krystal Lauren Balster, OTR/L
• Susan Balto
• Michelle Baltus, MSW, LGSW
• Angela Marie Balzarini-Leonhart
• Nour Suleiman Bana
• Sahra Mohamed Bana
• Banaadiri Home Healthcare
• Banadir Adult Day Care Inc
• Banadir Health Services

• Community Based Hospice Care Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Community Based Hospice Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2010; 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.