Active NPI
Abduahman W Jama, MANAGER
- Home Health Aide
- Edina, MN
National Provider Identifier
1932575636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 388010
- Practice address
- 7400 Metro Blvd Ste 150
Edina, MN 55439-2301 - Phone
- (529) 222-5477
- Fax
- (952) 222-5418
- NPI assigned
- Aug 17, 2015
- Last updated
- May 5, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | MN | ||
| Home Health Aide | 374U00000X | 388010 | MN | Primary |
| Nursing Home Administrator | 376G00000X | 388010 | MN | |
| Homemaker | 376J00000X | NU |
Addresses
Primary practice location
7400 Metro Blvd Ste 150
Edina, MN 55439-2301
Mailing address
7400 Metro Blvd Ste 150
Minneapolis, MN 55439-2301
Phone (952) 222-5477
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251J00000X | Other | MN | HOME HEALTH AGENCY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 388010 | MN | MD | Home Health Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Home Health Care, Inc | Current | Accepting new patients | |
| Mercy Link, LLC | Current | Accepting new patients |
Locations
7400 Metro Blvd
Ste 150
Minneapolis, MN 55439
Phone (529) 222-5477
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Minneapolis, MN
- NPI 1740640846
-
- Home Health Agency
- Burnsville, MN
- NPI 1740657204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588636800000",
"number": "1932575636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7400 METRO BLVD STE 150",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554392301",
"telephone_number": "952-222-5477",
"fax_number": "952-222-5477"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7400 METRO BLVD STE 150",
"city": "EDINA",
"state": "MN",
"postal_code": "554392301",
"telephone_number": "529-222-5477",
"fax_number": "952-222-5418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMA",
"first_name": "ABDUAHMAN",
"middle_name": "W",
"credential": "MANAGER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-17",
"last_updated": "2020-05-05",
"certification_date": "2020-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "MN",
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "MN",
"license": "388010",
"primary": true
},
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": "MN",
"license": "388010",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME HEALTH AGENCY",
"identifier": "251J00000X",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.