Procare Home Assistance

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROCARE HOME ASSISTANCE

Practice address

1915 MN-36 Roseville
Roseville, MN 55113

Phone

(763) 306-3435

NPI assigned

Nov 20, 2024

Organization subpart

No

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

Authorized official

Name

Abdillahi Ahmed

Title

Owner

Phone

(763) 286-3207

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1732060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739232000000",
    "number": "1720803182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 MN-36 ROSEVILLE",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "55113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 MN-36 ROSEVILLE",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "55113",
            "telephone_number": "763-306-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROCARE HOME ASSISTANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-20",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "ABDILLAHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-286-3207"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Roseville, MN
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.