Healthcare Provider Details

I. General information

NPI: 1942129770
Provider Name (Legal Business Name): USHA NURSE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2262 VALLEY VIEW AVE E
MAPLEWOOD MN
55119-5856
US

IV. Provider business mailing address

2262 VALLEY VIEW AVE E
MAPLEWOOD MN
55119-5856
US

V. Phone/Fax

Practice location:
  • Phone: 952-657-9029
  • Fax: 218-332-7874
Mailing address:
  • Phone: 952-657-9029
  • Fax: 218-332-7874

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: FEVEN TEKILU USHA
Title or Position: RN
Credential: RN
Phone: 952-657-9029