Healthcare Provider Details

I. General information

NPI: 1841813433
Provider Name (Legal Business Name): ALLCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2020
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2304 PARK AVE STE 126
MINNEAPOLIS MN
55404-3756
US

IV. Provider business mailing address

2304 PARK AVE STE 126
MINNEAPOLIS MN
55404-3756
US

V. Phone/Fax

Practice location:
  • Phone: 612-688-3777
  • Fax: 844-654-7366
Mailing address:
  • Phone: 612-688-3777
  • 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: MR. OMAR AHMED SHIRE
Title or Position: PRESIDENT
Credential: PR
Phone: 612-275-2024