Organization Active NPI

Charm Home Care LLC

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1720637549
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CHARM HOME CARE LLC
Practice address
3249 Hennepin Ave Ste 75
Minneapolis, MN 55408-3410
Phone
(612) 367-4394
Fax
(612) 500-4277
NPI assigned
Sep 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Authorized official

Name
Abdikerm A Eidleh
Title
Owner
Phone
(612) 323-2240

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

3249 Hennepin Ave Ste 75
Minneapolis, MN 55408-3410

Mailing address

3249 Hennepin Ave Ste 75
Minneapolis, MN 55408-3410
Phone (612) 367-4394

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1720637549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3249 HENNEPIN AVE STE 75",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083410",
            "telephone_number": "612-367-4394",
            "fax_number": "612-500-4277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3249 HENNEPIN AVE STE 75",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554083410",
            "telephone_number": "612-367-4394",
            "fax_number": "612-500-4277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARM HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "EIDLEH",
        "authorized_official_first_name": "ABDIKERM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-323-2240"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 4, 2019; 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.