Pro Health Home Care

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

2963896 Issued in MN

Legal business name

PRO HEALTH HOME CARE

Practice address

8717 Prestwick Pkwy N
Brooklyn Park, MN 55443-3909

Phone

(763) 447-9971

NPI assigned

Feb 8, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Moustapha Abdulahi Omar, PHD

Title

Executive Director

Phone

(763) 447-9971

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1780122861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8717 PRESTWICK PKWY N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433909",
            "telephone_number": "763-447-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8717 PRESTWICK PKWY N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554433909",
            "telephone_number": "763-447-9971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO HEALTH HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "MOUSTAPHA",
        "authorized_official_middle_name": "ABDULAHI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "763-447-9971",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "2963896",
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abena Viola Prempeh, DNP, PMHNP-BC
• Prime Scrubs & Medical Supply
• Primestone Healthcare LLC
• Primor Home Health Care LLC
• Primus Incorporated
• Pro Medical Staffing, Inc.
• Prohealth Care Systems Inc
• Prosperity Home Healthcare LLC
• Pulse Care LLC
• Pulsepoint Healthcare LLC

• Non-emergency Medical Transport (VAN) in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Non-emergency Medical Transport (VAN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.