New Dynamic Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

NEW DYNAMIC HOME CARE LLC

Practice address

5821 Cedar Lake Rd S RM 108
St Louis Park, MN 55416-1487

Phone

(763) 245-1730

Fax

(763) 226-2522

NPI assigned

Feb 8, 2023

Organization subpart

No

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

Authorized official

Name

Sahara Aden

Title

Owner

Phone

(763) 245-1730

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1675814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1760189930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 CEDAR LAKE RD S RM 108",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161487",
            "telephone_number": "763-245-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 CEDAR LAKE RD S RM 108",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161487",
            "telephone_number": "763-245-1730",
            "fax_number": "763-226-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DYNAMIC HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-08",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "ADEN",
        "authorized_official_first_name": "SAHARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-245-1730"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in St Louis Park, MN
• Providers in St Louis Park, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.