Organization Active NPI

Niya Home Care LLC

  • In Home Supportive Care Agency
  • Brooklyn Park, MN
National Provider Identifier
1942070768
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
NIYA HOME CARE LLC
Practice address
10000 Georgia Ave N
Brooklyn Park, MN 55445-2671
Phone
(612) 900-0483
NPI assigned
Jan 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Fereya Ahmed Hussen
Title
Owner
Phone
(612) 900-0483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

10000 Georgia Ave N
Brooklyn Park, MN 55445-2671

Mailing address

10000 Georgia Ave N
Brooklyn Park, MN 55445-2671
Phone (612) 900-0483

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1942070768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 GEORGIA AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452671",
            "telephone_number": "612-900-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 GEORGIA AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554452671",
            "telephone_number": "612-900-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIYA HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "HUSSEN",
        "authorized_official_first_name": "FEREYA",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-900-0483"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.