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NPI Code Detail

MEDICARE: MAXX HOME HEALTHCARE LLC

MEDICARE: MAXX HOME HEALTHCARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1164166617
Entity Type Code : Organization
Provider Name (Legal Business Name) : MAXX HOME HEALTHCARE LLC
Provider Business Mailing Address
First Line : 1500 1ST AVE NE
Second Line : UNIT 201C
City : ROCHESTER
State : MN
Zip : 55906
Country : US
Telephone Number : 507-884-8277
Fax Number :
Provider Business Practice Location Address
First Line : 1500 1ST AVE NE STE 201C
Second Line :
City : ROCHESTER
State : MN
Zip : 55906-4311
Country : US
Telephone Number : 507-884-8277
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. LAYLA NASIR ABDI
Credential : CEO
Telephone Number : 507-884-8277
Provider Enumeration Date : 04/21/2022
Last Update Date : 02/02/2026

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