Organization Active NPI

Premier Home Healthcare LLC

  • Non-emergency Medical Transport (VAN)
  • Minneapolis, MN
National Provider Identifier
1730925520
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
PREMIER HOME HEALTHCARE LLC
Practice address
505 E Grant St Ste 102
Minneapolis, MN 55404-1411
Phone
(612) 208-1839
NPI assigned
Jul 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Authorized official

Name
Ahmed Mahamoud
Title
Director
Phone
(612) 208-1839

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

505 E Grant St Ste 102
Minneapolis, MN 55404-1411

Mailing address

505 E Grant St Ste 102
Minneapolis, MN 55404-1411
Phone (612) 208-1839

National Provider Directory

National Provider Directory
Tax ID family
Premier Home Healthcare LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1730925520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E GRANT ST STE 102",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041411",
            "telephone_number": "612-208-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E GRANT ST STE 102",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041411",
            "telephone_number": "612-208-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "MAHAMOUD",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "612-208-1839"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "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 Jul 2, 2024; 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.