Organization Active NPI

Bultum Home Health LLC

  • Home Health Agency
  • Apple Valley, MN
National Provider Identifier
1821810011
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BULTUM HOME HEALTH LLC
Practice address
15478 Emblem Way
Apple Valley, MN 55124-6147
Phone
(612) 598-7447
NPI assigned
Oct 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Foziya Mohamed
Title
Owner
Phone
(612) 598-7447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

15478 Emblem Way
Apple Valley, MN 55124-6147

Mailing address

15478 Emblem Way
Apple Valley, MN 55124-6147
Phone (612) 598-7447

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1821810011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15478 EMBLEM WAY",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551246147",
            "telephone_number": "612-598-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15478 EMBLEM WAY",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551246147",
            "telephone_number": "612-598-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BULTUM HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "FOZIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-598-7447"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.