Organization Active NPI

Twin Cities Quality Health Care Service Inc

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1700112869
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
251E00000X
Legal business name
TWIN CITIES QUALITY HEALTH CARE SERVICE INC
Practice address
2645 1St Avenue S Ste B03
Minneapolis, MN 55408-1806
Phone
(612) 886-3608
Fax
(612) 886-3609
NPI assigned
Oct 26, 2009
Last updated
Oct 26, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Authorized official

Name
Mr. Abdirashid Ibrahim Mahamoud
Title
Office Manager
Phone
(612) 232-5989

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Home Health Agency 251E00000X 251E00000X Primary

Addresses

Primary practice location

2645 1St Avenue S Ste B03
Minneapolis, MN 55408-1806

Mailing address

2645 1St Ave S Ste B03
Minneapolis, MN 55408-1806
Phone (612) 886-3608

Other identifiers 1

IdentifierTypeStateIssuer
A395415100MedicaidMN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1700112869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 1ST AVE S STE B03",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554081806",
            "telephone_number": "612-886-3608",
            "fax_number": "612-886-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 1ST AVENUE S STE B03",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554081806",
            "telephone_number": "612-886-3608",
            "fax_number": "612-886-3609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWIN CITIES QUALITY HEALTH CARE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-26",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "MAHAMOUD",
        "authorized_official_first_name": "ABDIRASHID",
        "authorized_official_middle_name": "IBRAHIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "612-232-5989",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": "251E00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A395415100",
            "state": "MN"
        }
    ],
    "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 Oct 26, 2009; 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.