In-Near Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

IN-NEAR HOME HEALTH LLC

Practice address

1605 Aspen Dr NE
East Grand Forks, MN 56721-3243

Phone

(701) 317-6914

NPI assigned

Jul 1, 2024

Organization subpart

No

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

Authorized official

Name

Moustapha IbrahimNPI 1780441485

Title

Owner

Phone

(701) 317-6914

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Moustapha Awaleh Ibrahim

  • Home Health Aide
  • East Grand Forks, MN
  • NPI 1780441485
  NPD Authorized official

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1962247932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 ASPEN DR NE",
            "city": "EAST GRAND FORKS",
            "state": "MN",
            "postal_code": "567213243",
            "telephone_number": "701-317-6914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 ASPEN DR NE",
            "city": "EAST GRAND FORKS",
            "state": "MN",
            "postal_code": "567213243",
            "telephone_number": "701-317-6914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN-NEAR HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-01",
        "certification_date": "2024-06-30",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "MOUSTAPHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "701-317-6914"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaylin Hochhalter, LPC
• Anisa Danielle Holwerda, MASTER SOCIAL WORKER
• Nicholas Dean Hovde, PT
• Rhonda Laurice Huot
• Moustapha Awaleh Ibrahim
• Irvin M. Galstad DDS LTD
• Lisa Jo Jamsa Tollefson, MD
• Lisa Jean Jeffrey Brown, OTR/L
• Craig Alan Johnson, DDS
• Karen Johnsonatkinson, RN

• Home Health Agency in East Grand Forks, MN
• Providers in East Grand Forks, 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 Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.