Healthcare Provider Details

I. General information

NPI: 1942162953
Provider Name (Legal Business Name): LIVECARE 24 INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2025
Last Update Date: 11/27/2025
Certification Date: 11/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 BLAISDELL AVE STE 301
MINNEAPOLIS MN
55404-3331
US

IV. Provider business mailing address

2400 BLAISDELL AVE # 301
MINNEAPOLIS MN
55404-3331
US

V. Phone/Fax

Practice location:
  • Phone: 651-219-9839
  • Fax:
Mailing address:
  • Phone: 651-219-9839
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: ABDIRAHMAN ABBDIRIZAK ISSE
Title or Position: MANAGER
Credential:
Phone: 651-219-9839