Pro Home Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1870481 Issued in MN

Legal business name

PRO HOME HEALTH CARE

Practice address

2910 Pillsbury Ave S Ste 129
Minneapolis, MN 55408-2284

Phone

(763) 291-7444

NPI assigned

Jan 8, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Abdirashid Hussein Bombolo

Title

Owner

Phone

(763) 291-7444

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1294444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294444800000",
    "number": "1962706788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 ORENDORFF WAY NE",
            "city": "COLUMBIA HEIGHTS",
            "state": "MN",
            "postal_code": "554215050",
            "telephone_number": "763-291-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 PILLSBURY AVE S STE 129",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082284",
            "telephone_number": "763-291-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-08",
        "last_updated": "2011-01-08",
        "status": "A",
        "authorized_official_last_name": "BOMBOLO",
        "authorized_official_first_name": "ABDIRASHID",
        "authorized_official_middle_name": "HUSSEIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-291-7444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "1870481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Marie Park Pritchard, PA-C
• Marc R Pritzker, M.D.
• Cynthia Privitera
• Privratsky Chiropractic PC
• Robert Neil Privratsky Jr., DC
• Proactive Healthcare Education Center
• Proactive Healthcare Education Center
• Patrick James Prochaska, D.D.S.
• Nicole Prochnow, PTA
• Kristin Noel Procopio, MPT

• Home Health Agency in Minneapolis, MN
• Providers in Minneapolis, 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 Jan 8, 2011; 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.