Active NPI
Daisy Home Care LLC
- Home Health Agency
- Moorhead, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- DAISY HOME CARE LLC
- Practice address
- 819 30TH Ave S Ste 200B
Moorhead, MN 56560-5054 - Phone
- (763) 218-3394
- NPI assigned
- Apr 6, 2023
- Last updated
- Jul 25, 2024
- 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
- Hawa Mohamed, REGISTERED NURSE
- Title
- Administrator
- Phone
- (763) 218-3394
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
819 30TH Ave S Ste 200B
Moorhead, MN 56560-5054
Mailing address
819 30TH Ave S Ste 200B
Moorhead, MN 56560-5054
Phone (763) 218-3394
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2321247 | Daisy Home Care, LLC | Certificate of waiver | Mar 31, 2027 |
National Provider Directory
National Provider DirectoryLocations
819 30th Ave S
Ste 200B
Moorhead, MN 56560
Phone (763) 218-3394
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Home Health Registered Nurse
- Pelican Rapids, MN
- NPI 1831806496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721865600000",
"number": "1669167615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 30TH AVE S STE 200B",
"city": "MOORHEAD",
"state": "MN",
"postal_code": "565605054",
"telephone_number": "763-218-3394"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 30TH AVE S STE 200B",
"city": "MOORHEAD",
"state": "MN",
"postal_code": "565605054",
"telephone_number": "763-218-3394"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAISY HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-06",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A",
"authorized_official_last_name": "MOHAMED",
"authorized_official_first_name": "HAWA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "763-218-3394",
"authorized_official_credential": "REGISTERED NURSE"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moorhead, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.