NPI 1992482228
Organization Active NPI Home Health Agency · Columbia Heights, MN
NPI 1992482228 · NPPES record last updated Jun 29, 2023
Key facts
- NPI
- 1992482228
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Practice address
- 1069 Grandview Way Apt 225
Columbia Heights, MN 55421-3377 - Phone
- (612) 501-2544
- NPI assigned
- Jun 29, 2023
- Organization subpart
- No
Authorized official
- Name
- Ismail Elmi Jama
- Title
- Owner
- Phone
- (612) 501-2544
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
1069 Grandview Way Apt 225
Columbia Heights, MN 55421-3377
Mailing address
1069 Grandview Way Apt 225
Columbia Heights, MN 55421-3377
Phone (612) 501-2544
Other providers in Columbia Heights, MN
- 3807 Hart Boulevard Opco LLC
- ABA Care Support LLC
- Abdirahman Abdiwali Abdalla
- Afnan Ahmed Abdi
- Fartun Layan Abdi
All providers in Columbia Heights, MN · Home Health Agency in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.