Healthcare Provider Details

I. General information

NPI: 1508383563
Provider Name (Legal Business Name): TOTAL HOME HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2017
Last Update Date: 01/07/2025
Certification Date: 12/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6949 IDAHO AVE N
BROOKLYN PARK MN
55428-1779
US

IV. Provider business mailing address

6949 IDAHO AVE N
BROOKLYN PARK MN
55428-1779
US

V. Phone/Fax

Practice location:
  • Phone: 612-442-0930
  • Fax:
Mailing address:
  • Phone: 612-442-0930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: GINNI ALI
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 612-442-0930