Organization Active NPI

Nobility Home Health Care Inc

  • Health Maintenance Organization
  • Minneapolis, MN
National Provider Identifier
1801212592
Registry record updated Mar 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
NOBILITY HOME HEALTH CARE INC
Practice address
1200 W Broadway Ave
Suite 130
Minneapolis, MN 55411-2572
Phone
(612) 529-4646
Fax
(612) 587-2699
NPI assigned
Mar 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2014

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

Authorized official

Name
Mr. Abdulrehman Sheck Hassan
Title
Ceo
Phone
(612) 529-4646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

1200 W Broadway Ave
Suite 130
Minneapolis, MN 55411-2572

Mailing address

1200 W Broadway Ave
Suite 130
Minneapolis, MN 55411-2572
Phone (612) 529-4646

Other identifiers 1

IdentifierTypeStateIssuer
M750025100OtherMNMA - MEDICAL ASSISTANCE (MINNESOTA DHS ISSUED)

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393977600000",
    "number": "1801212592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 W BROADWAY AVE",
            "address_2": "SUITE 130",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554112572",
            "telephone_number": "612-529-4646",
            "fax_number": "612-587-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W BROADWAY AVE",
            "address_2": "SUITE 130",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554112572",
            "telephone_number": "612-529-4646",
            "fax_number": "612-587-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOBILITY HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-05",
        "last_updated": "2014-03-05",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "ABDULREHMAN",
        "authorized_official_middle_name": "SHECK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-529-4646",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA - MEDICAL ASSISTANCE (MINNESOTA DHS ISSUED)",
            "identifier": "M750025100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.