Mississippi Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MISSISSIPPI HOME HEALTH CARE LLC

Practice address

2718 Nicollet Ave Ste 205
Minneapolis, MN 55408-1648

Phone

(612) 876-1274

Fax

(952) 888-9450

NPI assigned

May 21, 2018

Last updated

Sep 10, 2019By 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. Mohamed Idiris Ismail

Title

Owner

Phone

(612) 876-1274

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568073600000",
    "number": "1841781317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2718 NICOLLET AVE STE 205",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554081648",
            "telephone_number": "612-876-1274",
            "fax_number": "612-888-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 NICOLLET AVE STE 205",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554081648",
            "telephone_number": "612-876-1274",
            "fax_number": "952-888-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2019-09-10",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "IDIRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-876-1274",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Staci Lynn Miskimen, MSW
• Charles Wilson Misner, D.D.S.
• Stephanie Misono, MD
• Twyla Marie Misselhorn, CTRS
• Mission Hill Group Home Services
• Amy Patton Misterek, NP-C
• Rebecca Jane Mitchard, M.D.
• Natasha Mitchell-Okeduko
• Charity Mitchell
• Elizabeth Rowe Mitchell, L.P.

• 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 Sep 10, 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.