Healthcare Provider Details

I. General information

NPI: 1134945702
Provider Name (Legal Business Name): MODERNCARE HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2024
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7420 UNITY AVE N STE 101D
BROOKLYN PARK MN
55443-3136
US

IV. Provider business mailing address

7420 UNITY AVE N STE 101D
BROOKLYN PARK MN
55443-3136
US

V. Phone/Fax

Practice location:
  • Phone: 612-444-8735
  • Fax:
Mailing address:
  • Phone: 612-703-6910
  • 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: SAREDO AHMED
Title or Position: OWNER
Credential:
Phone: 612-703-6910