Aaa Homecare Agency LLC

Key facts

NPI

1922482702

Entity type

Organization (NPI type 2)

Primary specialty

Home Health Agency 251E00000X

Legal business name

AAA HOMECARE AGENCY LLC

Practice address

3355 Hiawatha Ave Ste 100
Minneapolis, MN 55406-2441

Phone

(612) 814-7814

Fax

(612) 808-8598

NPI assigned

Jul 12, 2015

Organization subpart

No

Authorized official

Name

Mr. Abdulkadir Ali Omar Sr.

Title

President

Phone

(612) 814-7814

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 10, 2016.

{
    "created_epoch": "1436659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455062400000",
    "number": "1922482702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 HIAWATHA AVE STE 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062441",
            "telephone_number": "612-814-7814",
            "fax_number": "612-808-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 HIAWATHA AVE STE 100",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554062441",
            "telephone_number": "612-814-7814",
            "fax_number": "612-808-8598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AAA HOMECARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-12",
        "last_updated": "2016-02-10",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "ABDULKADIR",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-814-7814",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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