Active NPI
Polaris Home Health Care Inc
- Home Health Agency
- Bloomington, MN
National Provider Identifier
1952857005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- POLARIS HOME HEALTH CARE INC
- Practice address
- 8609 Lyndale Ave S Ste 213C
Bloomington, MN 55420-2769 - Phone
- (952) 777-4625
- Fax
- (952) 777-4627
- NPI assigned
- Aug 29, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Abdirashid Hassan-Wali Abdi
- Title
- Ceo
- Phone
- (952) 777-4625
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
8609 Lyndale Ave S Ste 213C
Bloomington, MN 55420-2769
Mailing address
8609 Lyndale Ave S Ste 213C
Bloomington, MN 55420-2769
Phone (952) 777-4625
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1513036800000",
"number": "1952857005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8609 LYNDALE AVE S STE 213C",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554202769",
"telephone_number": "952-777-4625",
"fax_number": "952-777-4627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8609 LYNDALE AVE S STE 213C",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554202769",
"telephone_number": "952-777-4625",
"fax_number": "952-777-4627"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POLARIS HOME HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-29",
"last_updated": "2017-12-12",
"status": "A",
"authorized_official_last_name": "ABDI",
"authorized_official_first_name": "ABDIRASHID",
"authorized_official_middle_name": "HASSAN-WALI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "952-777-4625",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.