Organization Active NPI

Citywide Home Care LLC

  • Home Health Agency
  • Minneapolis, MN
National Provider Identifier
1992225171
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CITYWIDE HOME CARE LLC
Practice address
1113 E Franklin Ave Ste 212
Minneapolis, MN 55404-2966
Phone
(612) 388-8139
Fax
(612) 677-3322
NPI assigned
Jun 20, 2017
Last updated
Sep 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Authorized official

Name
Kadro Jama
Title
President
Phone
(612) 388-8139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1113 E Franklin Ave Ste 212
Minneapolis, MN 55404-2966

Mailing address

1113 E Franklin Ave Ste 212
Minneapolis, MN 55404-2966
Phone (612) 388-8139

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567641600000",
    "number": "1992225171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 E FRANKLIN AVE STE 212",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042966",
            "telephone_number": "612-388-8139",
            "fax_number": "612-677-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 E FRANKLIN AVE STE 212",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042966",
            "telephone_number": "612-388-8139",
            "fax_number": "612-677-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITYWIDE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2019-09-05",
        "status": "A",
        "authorized_official_last_name": "JAMA",
        "authorized_official_first_name": "KADRO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "612-388-8139"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.