Hodan Abdikadir

Individual provider Active NPI Case Manager/Care Coordinator · Saint Paul, MN

NPI 1902591613 · NPPES record last updated Jul 26, 2023

Key facts

NPI
1902591613
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
869 Fuller Ave
Saint Paul, MN 55104-4742
Phone
(612) 245-7371
NPI assigned
Apr 7, 2023
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

869 Fuller Ave
Saint Paul, MN 55104-4742

Mailing address

2811 Pennsylvania Ave SE
Washington, DC 20020-3865

Other providers in Saint Paul, MN

All providers in Saint Paul, MN · Case Manager/Care Coordinator in Minnesota

Sources for this page

Verify at the official NPI Registry.