Advanzed Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ADVANZED HOME HEALTH CARE LLC

Practice address

3831 Bakken Blvd
Columbia Heights, MN 55421-5056

Phone

(612) 323-0315

NPI assigned

Aug 29, 2013

Last updated

Dec 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Liban Mohamud

Title

Manager

Phone

(612) 323-0315

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1811321540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 BAKKEN BLVD",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554215056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 BAKKEN BLVD",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554215056",
            "telephone_number": "612-323-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANZED HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "MOHAMUD",
        "authorized_official_first_name": "LIBAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-323-0315"
    },
    "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 Columbia Heights, MN
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• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.