Convenience Home Health-Aide

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

CONVENIENCE HOME HEALTH-AIDE

Practice address

809 N West Ave Apt 305
Sioux Falls, SD 57104-5740

Phone

(605) 251-5174

NPI assigned

Jul 22, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Hussein Muhumed Gudal

Title

Manager

Phone

(605) 251-5174

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437523200000",
    "number": "1770968554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 N WEST AVE APT 305",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571045740",
            "telephone_number": "605-251-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N WEST AVE APT 305",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571045740",
            "telephone_number": "605-251-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVENIENCE HOME HEALTH-AIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A",
        "authorized_official_last_name": "GUDAL",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_middle_name": "MUHUMED",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "605-251-5174",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie L Nelson Inc
• Conrad Counseling & Consulting, LLC
• Melissa Renee Conrad, MSW
• Roy Carl Conrad, PHD
• Continued Care LTC Pharmacy South Dakota LLC
• Alan Cook
• Kelsey Cook, RN
• Lesley Marie Cook
• Megan E Cook
• Sydney Victoria Cook, PA-C

• Adult Care Home Facility in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Adult Care Home Facility in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.