Active NPI
Premier Health Services Inc
- Home Health Agency
- Minneapolis, MN
National Provider Identifier
1689009524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PREMIER HEALTH SERVICES INC
- Practice address
- 1422 W Lake St Ste 213
Minneapolis, MN 55408-2616 - Phone
- (612) 223-6744
- Fax
- (612) 223-6773
- NPI assigned
- Sep 11, 2013
- Last updated
- Sep 29, 2021
- 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
- Yussuf Abdi
- Title
- Director
- Phone
- (612) 223-6744
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1422 W Lake St Ste 213
Minneapolis, MN 55408-2616
Mailing address
1422 W Lake St Ste 213
Minneapolis, MN 55408-2616
Phone (612) 223-6744
National Provider Directory
National Provider DirectoryLocations
2909 Hennepin Ave
Ste 200
Minneapolis, MN 55408
Phone (612) 223-6744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632873600000",
"number": "1689009524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1422 W LAKE ST STE 213",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554082616",
"telephone_number": "612-223-6744",
"fax_number": "612-223-6773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1422 W LAKE ST STE 213",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554082616",
"telephone_number": "612-223-6744",
"fax_number": "612-223-6773"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER HEALTH SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-11",
"last_updated": "2021-09-29",
"certification_date": "2021-09-29",
"status": "A",
"authorized_official_last_name": "ABDI",
"authorized_official_first_name": "YUSSUF",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "612-223-6744"
},
"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 Sep 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.