Organization Active NPI

Kalkaal Home Care, Inc

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1740387513
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
KALKAAL HOME CARE, INC
Practice address
1929 S. 5TH St.
Ste. 100
Minneapolis, MN 55454-8801
Phone
(612) 333-1690
Fax
(612) 333-1503
NPI assigned
Sep 20, 2006
Last updated
May 6, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Authorized official

Name
Mr. Abdiwahab Mohamed Yusuf
Title
Mnaging Director
Phone
(612) 333-1690

Specialties & licenses 1

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

Addresses

Primary practice location

1929 S. 5TH St.
Ste. 100
Minneapolis, MN 55454-8801

Mailing address

1929 S. 5TH St.
Ste. 100
Minneapolis, MN 55454-8801
Phone (612) 333-1690

Other identifiers 1

IdentifierTypeStateIssuer
752166900MedicaidMN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1740387513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1929 S. 5TH ST.",
            "address_2": "STE. 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554548801",
            "telephone_number": "612-333-1690",
            "fax_number": "612-333-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 S. 5TH ST.",
            "address_2": "STE. 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554548801",
            "telephone_number": "612-333-1690",
            "fax_number": "612-333-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALKAAL HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "YUSUF",
        "authorized_official_first_name": "ABDIWAHAB",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "MNAGING DIRECTOR",
        "authorized_official_telephone_number": "612-333-1690",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "752166900",
            "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 May 6, 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.