NPIMap

Organization Active NPI

Wise Home Health Care, Inc.

  • In Home Supportive Care Agency
  • Minneapolis, MN
National Provider Identifier
1730531435
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
1073655-1-HCBS Issued in MN
Legal business name
WISE HOME HEALTH CARE, INC.
Practice address
1305 E 24TH St
Suit #2
Minneapolis, MN 55404-3927
Phone
(612) 721-4003
Fax
(612) 721-4015
NPI assigned
Jul 6, 2016
Last updated
Jul 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Authorized official

Name
Abdikafar Mohamed Aden
Title
Program President
Phone
(612) 721-4003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 1073655-1-HCBS MN Primary

Addresses

Primary practice location

1305 E 24TH St
Suit #2
Minneapolis, MN 55404-3927

Mailing address

1305 E 24TH St
Suit #2
Minneapolis, MN 55404-3927
Phone (612) 721-4003

Other identifiers 2

IdentifierTypeStateIssuer
A111432000OtherMNUMPI
A293665300OtherMNUMPI

National Provider Directory

National Provider Directory
Tax ID family
Wise HHC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1305 E 24th St
Ste 2
Minneapolis, MN 55404
Phone (612) 721-4003

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1730531435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 E 24TH ST",
            "address_2": "SUIT #2",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043927",
            "telephone_number": "612-721-4003",
            "fax_number": "612-721-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 E 24TH ST",
            "address_2": "SUIT #2",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043927",
            "telephone_number": "612-721-4003",
            "fax_number": "612-721-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WISE HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "ADEN",
        "authorized_official_first_name": "ABDIKAFAR",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "PROGRAM PRESIDENT",
        "authorized_official_telephone_number": "612-721-4003"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MN",
            "license": "1073655-1-HCBS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMPI",
            "identifier": "A111432000",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMPI",
            "identifier": "A293665300",
            "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 Jul 6, 2016; 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.