Healthcare Provider Details

I. General information

NPI: 1962737999
Provider Name (Legal Business Name): GENUINE HOME HEALTH CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2009
Last Update Date: 10/08/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2910 PILLSBURY AVE S SUITE: 212A
MINNEAPOLIS MN
55408-2297
US

IV. Provider business mailing address

2910 PILLSBURY AVE S SUITE: 212A
MINNEAPOLIS MN
55408-2297
US

V. Phone/Fax

Practice location:
  • Phone: 612-353-9699
  • Fax: 612-454-2565
Mailing address:
  • Phone: 612-353-9699
  • Fax: 612-454-2565

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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. ABDURAHMAN ADEN OSMAN
Title or Position: PRESIDENT
Credential:
Phone: 952-217-3983