Organization Active NPI

Shiffo Home Health Care Corporation

  • Home Health Agency
  • Rochester, MN
National Provider Identifier
1841363330
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
330591 Issued in MN
Legal business name
SHIFFO HOME HEALTH CARE CORPORATION
Practice address
12 Elton Hills Dr NW
Suite # 207
Rochester, MN 55901-3516
Phone
(507) 289-5801
Fax
(507) 289-5885
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Hamdi Dahir Aden, LPN
Title
Director
Phone
(507) 289-5801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 330591 MN Primary

Addresses

Primary practice location

12 Elton Hills Dr NW
Suite # 207
Rochester, MN 55901-3516

Mailing address

12 Elton Hills Dr NW
Suite # 207
Rochester, MN 55901-3516
Phone (507) 289-5801

Other identifiers 3

IdentifierTypeStateIssuer
308K7SHOtherMNBLUE CROSS AND BLUE SHIEL
165340OtherMNUCARE MN
308K6SHOtherMNBLUE CROSS AND BLUE SHIEL

National Provider Directory

National Provider Directory

Locations

12 Elton Hills Dr NW
Ste 207
Rochester, MN 55901
Phone (507) 289-5801

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841363330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ELTON HILLS DR NW",
            "address_2": "SUITE # 207",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013516",
            "telephone_number": "507-289-5801",
            "fax_number": "507-289-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 ELTON HILLS DR NW",
            "address_2": "SUITE # 207",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559013516",
            "telephone_number": "507-289-5801",
            "fax_number": "507-289-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIFFO HOME HEALTH CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADEN",
        "authorized_official_first_name": "HAMDI",
        "authorized_official_middle_name": "DAHIR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "507-289-5801",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "330591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "308K7SH",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE MN",
            "identifier": "165340",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "308K6SH",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

  • 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.