Organization Active NPI

Alk Home Care LLC

  • In Home Supportive Care Agency
  • Blaine, MN
National Provider Identifier
1750137022
Registry record updated Apr 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
ALK HOME CARE LLC
Practice address
12760 Aberdeen St NE Ste 211
Blaine, MN 55449-5847
Phone
(612) 477-5596
NPI assigned
Apr 27, 2024
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mohamed H Ahmed
Title
Co-Owner
Phone
(612) 477-5596

National Provider Directory

National Provider Directory

Locations

12760 Aberdeen St NE
Ste 211
Blaine, MN 55449
Phone (612) 477-5596

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

12760 Aberdeen St NE Ste 211
Blaine, MN 55449-5847

Mailing address

12760 Aberdeen St NE Ste 211
Blaine, MN 55449-5847

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 27, 2024.

{
    "created_epoch": "1714176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714176000000",
    "number": "1750137022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12760 ABERDEEN ST NE STE 211",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12760 ABERDEEN ST NE STE 211",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495847",
            "telephone_number": "612-477-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALK HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-27",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "612-477-5596"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blaine, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.