Organization Active NPI

Northland Home Health, LLC.

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1902525033
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NORTHLAND HOME HEALTH, LLC.
Doing business as
Northland Home Health, LLC.
Practice address
2415 Emerson Ave S Ste 204
Minneapolis, MN 55405-6000
Phone
(612) 409-0402
NPI assigned
Aug 23, 2022
Last updated
Aug 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Mohamed Farah
Title
Owner
Phone
(612) 409-0402

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Health Agency 251E00000X Primary
Public Health or Welfare Agency 251K00000X
Child Mental Illness Respite Care 385HR2055X

Addresses

Primary practice location

2415 Emerson Ave S Ste 204
Minneapolis, MN 55405-6000

Mailing address

2415 Emerson Ave S Ste 204
Minneapolis, MN 55405-6000
Phone (612) 409-0402

Other names 1

  • Northland Home Health, LLC. Doing business as

National Provider Directory

National Provider Directory

Locations

2415 Emerson Ave S
Ste 204
Minneapolis, MN 55405
Phone (612) 409-0402

NPI Registry JSON

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

{
    "created_epoch": "1661212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1902525033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 EMERSON AVE S STE 204",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554056000",
            "telephone_number": "612-409-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 EMERSON AVE S STE 204",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554056000",
            "telephone_number": "612-409-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHLAND HOME HEALTH, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-409-0402"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northland Home Health, LLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.