MEDICARE: FIRST MINNESOTA CARE, INC

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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1881711356
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST MINNESOTA CARE, INC

Provider Business Mailing Address
First Line	:	1201 E LAKE ST
Second Line	:	1
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1763
Country	:	US
Telephone Number	:	612-724-3000
Fax Number	:	612-724-8551

Provider Business Practice Location Address
First Line	:	1201 E LAKE ST
Second Line	:	1
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1763
Country	:	US
Telephone Number	:	612-724-3000
Fax Number	:	612-724-8551

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. AHMED M HUSSAIN
Credential	:
Telephone Number	:	612-724-3000

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	08/22/2020

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