Healthcare Provider Details

I. General information

NPI: 1811871833
Provider Name (Legal Business Name): CAREHUB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13917 W PRESERVE BLVD
BURNSVILLE MN
55337-7733
US

IV. Provider business mailing address

13917 W PRESERVE BLVD
BURNSVILLE MN
55337-7733
US

V. Phone/Fax

Practice location:
  • Phone: 952-457-9709
  • Fax:
Mailing address:
  • Phone: 952-457-9709
  • 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: RODA MOHAMED HASSAN
Title or Position: MANAGER/OWNER
Credential: RN
Phone: 952-457-9709