Organization Active NPI

Mariya Home Care Inc.

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1902843246
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
356549 Issued in MN
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

Updated by the provider on Mar 7, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
32939MedicaidND
857349200MedicaidMN

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.