Life Care Health Services LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

LIFE CARE HEALTH SERVICES LLC

Practice address

2445 Park Ave # 300
Minneapolis, MN 55404-3714

Phone

(612) 458-1962

Fax

(612) 605-1939

NPI assigned

Jul 11, 2023

Organization subpart

No

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

Authorized official

Name

Rachid A Mohamad

Title

Ceo

Phone

(612) 458-1962

Specialties & licenses 1

Addresses

Other names 1

• LIFE CARE HEALTH SERVICES LLC Doing business as

Locations

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1972281780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2445 PARK AVE # 300",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043714",
            "telephone_number": "612-458-1962",
            "fax_number": "612-605-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 PARK AVE # 300",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554043714",
            "telephone_number": "612-458-1962",
            "fax_number": "612-605-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-04",
        "status": "A",
        "authorized_official_last_name": "MOHAMAD",
        "authorized_official_first_name": "RACHID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "612-458-1962"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIFE CARE HEALTH SERVICES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Counselor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; 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.