Healthcare Provider Details

I. General information

NPI: 1407795453
Provider Name (Legal Business Name): 1ST HORIZON HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6330 INDIANA AVE N
MINNEAPOLIS MN
55429-2121
US

IV. Provider business mailing address

6330 INDIANA AVE N
MINNEAPOLIS MN
55429-2121
US

V. Phone/Fax

Practice location:
  • Phone: 612-598-3214
  • Fax:
Mailing address:
  • Phone: 612-598-3214
  • 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: KING ESSANDOH
Title or Position: OWNER
Credential: CEO
Phone: 612-598-3214