Active NPI
Everest Healthcare Services LLC
- Home Health Agency
- Edina, MN
National Provider Identifier
1982390522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- EVEREST HEALTHCARE SERVICES LLC
- Practice address
- 5100 Edina Industrial Blvd Ste 221C
Edina, MN 55439-3005 - Phone
- (612) 644-0078
- NPI assigned
- Apr 17, 2023
- 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
- Mohamed Hashim Abukar
- Title
- Manager
- Phone
- (612) 644-0078
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
5100 Edina Industrial Blvd Ste 221C
Edina, MN 55439-3005
Mailing address
5100 Edina Industrial Blvd Ste 221C
Edina, MN 55439-3005
Phone (612) 644-0078
National Provider Directory
National Provider DirectoryLocations
5100 Edina Industrial Blvd
Ste 221C
Edina, MN 55439
Phone (612) 644-0078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681689600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681689600000",
"number": "1982390522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5100 EDINA INDUSTRIAL BLVD STE 221C",
"city": "EDINA",
"state": "MN",
"postal_code": "554393005",
"telephone_number": "612-644-0078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 EDINA INDUSTRIAL BLVD STE 221C",
"city": "EDINA",
"state": "MN",
"postal_code": "554393005",
"telephone_number": "612-644-0078"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVEREST HEALTHCARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-17",
"last_updated": "2023-04-17",
"certification_date": "2023-04-16",
"status": "A",
"authorized_official_last_name": "ABUKAR",
"authorized_official_first_name": "MOHAMED",
"authorized_official_middle_name": "HASHIM",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "612-644-0078"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.