Organization Active NPI

Generous Home Care Services Inc

  • Home Health Registered Nurse
  • Plymouth, MN
National Provider Identifier
1891397139
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
Legal business name
GENEROUS HOME CARE SERVICES INC
Practice address
3835 Saratoga LN N
Plymouth, MN 55441-1514
Phone
(612) 235-1680
NPI assigned
Nov 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Authorized official

Name
Sucdi Mohamed Ahmed
Title
Owner/Manager
Phone
(612) 235-1680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X Primary

Addresses

Primary practice location

3835 Saratoga LN N
Plymouth, MN 55441-1514

Mailing address

3835 Saratoga LN N
Plymouth, MN 55441-1514
Phone (612) 235-1680

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
24D2213466Generous Home Care Services, Inc3835 Saratoga Lane N, Plymouth, MN 55441Certificate of waiverFeb 11, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1891397139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 SARATOGA LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554411514",
            "telephone_number": "612-235-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 SARATOGA LN N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554411514",
            "telephone_number": "612-235-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENEROUS HOME CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SUCDI",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "612-235-1680"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 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.