Pro-Health Care, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

335929 Issued in MN

Legal business name

PRO-HEALTH CARE, INC

Practice address

4710 Central Ave NE
Columbia Heights, MN 55421-1944

Phone

(763) 746-8155

Fax

(763) 746-8154

NPI assigned

Dec 31, 2007

Last updated

May 31, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Abdulwahab Asamarai, M.D., PH.D.

Title

President/Ceo

Phone

(763) 746-8155

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Pro-Health Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pro-Health Care, Inc

  • Home Health Agency
  • Columbia Heights, MN
  • NPI 1174748263
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Demenia Gbarbea, APRN

  • Family Nurse Practitioner
  • Minneapolis, MN
  • NPI 1962990184
  NPD (past)

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1932384666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4710 CENTRAL AVE NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554211944",
            "telephone_number": "763-746-8155",
            "fax_number": "763-746-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4710 CENTRAL AVE NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554211944",
            "telephone_number": "763-746-8155",
            "fax_number": "763-746-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "ASAMARAI",
        "authorized_official_first_name": "ABDULWAHAB",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "763-746-8155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., PH.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "335929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355493000",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "825168000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pinnacle Charter School Management LLC.
• John Moyer Poage, D.D.S.
• Premium Home Care Services
• Priority Life Home Care
• Pro-Health Care, Inc
• Pro-Health Home Care Agency, LLC (Pro-Health PDN Services, LLC)
• Pro-Health Home Care Agency, LLC
• Provisional Health and Rehabilitative Services LLC
• Jennifer M Pyper-Muno
• Raqi Home Health Care Inc

• Home Health Agency in Columbia Heights, MN
• Providers in Columbia Heights, 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 May 31, 2016; 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.