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NPI Code Detail

MEDICARE: NEXTCARE LLC

MEDICARE: NEXTCARE 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 : 1356168454
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEXTCARE LLC
Provider Business Mailing Address
First Line : 301 E LAKE ST STE 207
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-2449
Country : US
Telephone Number : 612-584-3917
Fax Number : 612-584-3923
Provider Business Practice Location Address
First Line : 301 E LAKE ST STE 207
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55408-2449
Country : US
Telephone Number : 612-584-3917
Fax Number : 612-584-3923
Authorized Official
Title or Position : CEO
Name : KHADRA ABDULLAHI JAMA
Credential : RN,BSN,PHN
Telephone Number : 612-644-2743
Provider Enumeration Date : 09/21/2024
Last Update Date : 09/21/2024

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Directions to “NEXTCARE LLC ” Practice Location

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