Active NPI
Mariya Home Care Inc.
- Home Health Agency
- Minneapolis, MN
National Provider Identifier
1902843246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 356549
- Legal business name
- MARIYA HOME CARE INC.
- Practice address
- 2940 Pillsbury Ave Ste 203
Minneapolis, MN 55408-2275 - Phone
- (612) 823-4305
- Fax
- (612) 823-4263
- NPI assigned
- Jun 2, 2006
- 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
- Mr. Hassan Abdi Adan
- Title
- Owner
- Phone
- (612) 823-4305
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 328162 | MN | |
| Home Health Agency | 251E00000X | 337880 | MN | |
| Home Health Agency | 251E00000X | 356549 | MN | Primary |
Addresses
Primary practice location
2940 Pillsbury Ave Ste 203
Minneapolis, MN 55408-2275
Mailing address
2940 Pillsbury Ave Ste 203
Minneapolis, MN 55408-2275
Phone (612) 823-4305
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32939 | Medicaid | ND | |
| 857349200 | Medicaid | MN |
National Provider Directory
National Provider DirectoryLocations
2940 Pillsbury Ave S
Ste 203
Minneapolis, MN 55408
Phone (612) 823-4305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362614400000",
"number": "1902843246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2940 PILLSBURY AVE STE 203",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554082275",
"telephone_number": "612-823-4305",
"fax_number": "612-823-4263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 PILLSBURY AVE STE 203",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554082275",
"telephone_number": "612-823-4305",
"fax_number": "612-823-4263"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIYA HOME CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-02",
"last_updated": "2013-03-07",
"status": "A",
"authorized_official_last_name": "ADAN",
"authorized_official_first_name": "HASSAN",
"authorized_official_middle_name": "ABDI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "612-823-4305",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MN",
"license": "328162",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MN",
"license": "337880",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MN",
"license": "356549",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32939",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "857349200",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
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 Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.