Providence Home Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROVIDENCE HOME CARE INC

Practice address

2805 Cliff Rd E Ste 200B
Burnsville, MN 55337-4095

Phone

(612) 978-2108

Fax

(612) 486-9109

NPI assigned

Aug 28, 2020

Organization subpart

No

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

Authorized official

Name

Fahima Mohamed AbdiNPI 1629851407

Title

Owner

Phone

(612) 978-2108

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fahima Abdi

  • Behavior Technician
  • Burnsville, MN
  • NPI 1629851407
  NPD Authorized official

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1922611011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22304",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551220304",
            "telephone_number": "612-978-2108",
            "fax_number": "612-486-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 CLIFF RD E STE 200B",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374095",
            "telephone_number": "612-978-2108",
            "fax_number": "612-486-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-28",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "ABDI",
        "authorized_official_first_name": "FAHIMA",
        "authorized_official_middle_name": "MOHAMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-978-2108"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Bemis Proebstle, MSN RNCFNP
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• Joanna E Prokes, D.C.
• Prowess Therapy Solutions Inc
• Psychnurse P.C.
• Mary Pumper
• Pura Vida Chiropractic & Wellness, P.a.
• Genevieve Marie Purchla

• Home Health Agency in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.