Organization Active NPI

Mill City Home Health Care Inc.

  • Assisted Living Facility
  • Fridley, MN
National Provider Identifier
1851947782
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
MILL CITY HOME HEALTH CARE INC.
Practice address
384 66TH Ave NE
Fridley, MN 55432-4401
Phone
(612) 281-2732
NPI assigned
Aug 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Authorized official

Name
Mahid Farah Hirsi
Title
Owner/Manager
Phone
(612) 281-2732

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X
Assisted Living Facility 310400000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

384 66TH Ave NE
Fridley, MN 55432-4401

Mailing address

384 66TH Ave NE
Fridley, MN 55432-4401
Phone (612) 281-2732

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D2192423Mill City Home Health Care Inc384 66TH Ave NE, Fridley, MN 55432Certificate of waiverSep 9, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1565827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1851947782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 66TH AVE NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554324401",
            "telephone_number": "612-281-2732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "384 66TH AVE NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554324401",
            "telephone_number": "612-281-2732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILL CITY HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-15",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "HIRSI",
        "authorized_official_first_name": "MAHID",
        "authorized_official_middle_name": "FARAH",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "612-281-2732"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fridley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.