Healthcare Provider Details

I. General information

NPI: 1306171962
Provider Name (Legal Business Name): HELPING ANGELS HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2009
Last Update Date: 10/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 16TH AVE S STE 6
MINNEAPOLIS MN
55454-1150
US

IV. Provider business mailing address

PO BOX 8761
MINNEAPOLIS MN
55408-0761
US

V. Phone/Fax

Practice location:
  • Phone: 612-203-0078
  • Fax: 612-454-2577
Mailing address:
  • Phone: 612-203-0078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number StateMN

VIII. Authorized Official

Name: ABDIRIZAK ABDULLAHI AHMED
Title or Position: PRESIDENT
Credential:
Phone: 612-203-0078