Minnesota Pca Home Healthy Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

A632198200 Issued in MN

Legal business name

MINNESOTA PCA HOME HEALTHY CARE LLC

Practice address

310 E 38TH St Ste 126
Minneapolis, MN 55409-1387

Phone

(612) 821-2364

NPI assigned

Nov 2, 2016

Organization subpart

No

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

Authorized official

Name

Faduma M Hussein

Title

Owner, President

Phone

(612) 821-2364

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1750833034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E 38TH ST STE 126",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554091387",
            "telephone_number": "612-821-2364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 E 38TH ST STE 126",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554091387",
            "telephone_number": "612-821-2364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA PCA HOME HEALTHY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "HUSSEIN",
        "authorized_official_first_name": "FADUMA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "612-821-2364"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "A632198200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Minneapolis, MN
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• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.