MGM Home Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MGM HOME CARE, INC.

Practice address

325 Cedar Ave S
Suite #5
Minneapolis, MN 55454-1030

Phone

(612) 338-3636

Fax

(612) 338-3939

NPI assigned

Mar 6, 2007

Last updated

Aug 22, 2020By 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

Mr. Idiris Dira Mohamud, OWNER

Title

GM

Phone

(612) 338-3636

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841320066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CEDAR AVE S",
            "address_2": "SUITE #5",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541030",
            "telephone_number": "612-338-3636",
            "fax_number": "612-338-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CEDAR AVE S",
            "address_2": "SUITE #5",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541030",
            "telephone_number": "612-338-3636",
            "fax_number": "612-338-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGM HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOHAMUD",
        "authorized_official_first_name": "IDIRIS",
        "authorized_official_middle_name": "DIRA",
        "authorized_official_title_or_position": "GM",
        "authorized_official_telephone_number": "612-338-3636",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Ann Meyers, CNP
• Taylor Meyers, DC
• Tripti A Meysman, DDS
• Elliot David Mezera, BS, RD, LD, CD
• Alison Leigh Mezzenga
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• MHHC Consumer Choice Inc
• MHM Providers LLC
• Hassan Shahid Mian, MD

• Home Health Agency in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.