Active NPI
Mill City Home Health Care Inc.
- Assisted Living Facility
- Fridley, MN
National Provider Identifier
1851947782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2192423 | Mill City Home Health Care Inc | Certificate of waiver | Sep 9, 2026 |
National Provider Directory
National Provider DirectoryNPI 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.