Organization Active NPI

Abib Home Care, LLC

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1801354980
Registry record updated Nov 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ABIB HOME CARE, LLC
Practice address
970 E Hennepin Ave
Minneapolis, MN 55414-1314
Phone
(612) 800-3159
NPI assigned
Mar 7, 2019
Last updated
Nov 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2019

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

Authorized official

Name
Edris Ali
Title
Managing Member
Phone
(612) 800-3159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

970 E Hennepin Ave
Minneapolis, MN 55414-1314

Mailing address

PO Box 7186
Saint Cloud, MN 56302-7186

Other practice location 1

1933 13th Ave S
Minneapolis, MN 55404
Phone (207) 344-5143

National Provider Directory

National Provider Directory

Locations

970 E Hennepin Ave
Minneapolis, MN 55414
Phone (612) 505-0470

NPI Registry JSON

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573430400000",
    "number": "1801354980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7186",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563027186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 E HENNEPIN AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554141314",
            "telephone_number": "612-800-3159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1933 13th Ave S",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "55404",
            "country_code": "US",
            "telephone_number": "207-344-5143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ABIB HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-11-11",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "EDRIS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "612-800-3159"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 11, 2019; 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.