Healthcare Provider Details

I. General information

NPI: 1811815749
Provider Name (Legal Business Name): ZENCARE INTEGRATIVE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9740 GRAND AVE S STE 240
BLOOMINGTON MN
55420-4225
US

IV. Provider business mailing address

9740 GRAND AVE S STE 240
BLOOMINGTON MN
55420-4225
US

V. Phone/Fax

Practice location:
  • Phone: 612-607-9813
  • Fax:
Mailing address:
  • Phone: 612-607-9813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BAHJO MOHAMED
Title or Position: MANAGER/CEO
Credential:
Phone: 612-607-9813