Spectrum Care Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SPECTRUM CARE SERVICES

Doing business as

Spectrum Care

Practice address

15644 Fairfield Dr
Apple Valley, MN 55124-5352

Phone

(612) 741-5399

NPI assigned

Jul 15, 2022

Organization subpart

No

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

Authorized official

Name

Fardowsa Mohamed, INTERNAL MEDICINE PANPI 1437617578

Title

Administrator

Phone

(612) 741-5399

Specialties & licenses 2

Addresses

Other names 1

• Spectrum Care Doing business as

Electronic endpoints 1

Practitioners 1

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

• Fardowsa Abdullahi Mohamed, PA-C

  • Physician Assistant
  • Scottsdale, AZ
  • NPI 1437617578
  NPD Authorized official

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1932833811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46151",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554460151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15644 FAIRFIELD DR",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551245352",
            "telephone_number": "612-741-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "FARDOWSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "612-741-5399",
        "authorized_official_credential": "INTERNAL MEDICINE PA"
    },
    "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
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "management@spectrumcare.us",
            "affiliation": "N",
            "endpointDescription": "Organization email (encrypted)",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15644 Fairfield Dr",
            "city": "Apple Valley",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551245352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Spectrum Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spectrum Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jodie Mae Sonterre, MASSAGE THERAPIST
• Leah Suzanne Sorenson, OTR/L
• Southview Counseling, LLC
• Melinda Faith Spanier
• Specialized Home Health Care Services, Inc
• Spectrum Development Center Service Corporation
• Spectrum of Hope LLC
• Melinda Erin Spike, LAC, COMT, CHC
• Spinefocus Physical Therapy LLC
• Christine Spray, OTRL

• Home Health Agency in Apple Valley, MN
• Providers in Apple Valley, 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 Oct 6, 2022; 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.