Minnesota Health Homecare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MINNESOTA HEALTH HOMECARE LLC

Doing business as

Minnesota Health Homecare LLC

Practice address

169 91St Ave NE
Blaine, MN 55434-1133

Phone

(612) 414-2067

NPI assigned

Dec 29, 2021

Organization subpart

No

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

Authorized official

Name

Ayub Onkundi, RNNPI 1477383792

Title

RN/Ceo

Phone

(612) 414-2067

Specialties & licenses 1

Addresses

Other names 1

• Minnesota Health Homecare LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ayub Jerasque Onkundi

  • Primary Care Nurse Practitioner
  • Minneapolis, MN
  • NPI 1477383792
  NPD Authorized official

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1851051049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 91ST AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554341133",
            "telephone_number": "612-414-2067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 91ST AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554341133",
            "telephone_number": "612-414-2067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA HEALTH HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "ONKUNDI",
        "authorized_official_first_name": "AYUB",
        "authorized_official_title_or_position": "RN/CEO",
        "authorized_official_telephone_number": "612-414-2067",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minnesota Health Homecare LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Catherine Mierau, PT, DPT
• Agassi Mila
• Mina Skilled Nursing LLC
• Minnesota Eye Consultants, PA
• Minnesota Eye Laser & Surgery Centers, LLC
• Minnesota Interventional Pain Associates
• Minnesota Loon Home Care LLC
• Minnesota Loon Transport LLC
• Modern Dental Professionals
• Teneglis C Moe, DC

• Home Health Agency in Blaine, MN
• Providers in Blaine, 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 Dec 29, 2021; 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.