Organization Active NPI

Everest Healthcare Services LLC

  • Home Health Agency
  • Edina, MN
National Provider Identifier
1982390522
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Apr 17, 2023

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.