Healthcare Provider Details

I. General information

NPI: 1992498810
Provider Name (Legal Business Name): ONE DIRECTION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2023
Last Update Date: 05/26/2023
Certification Date: 05/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8391 6TH ST NE
MINNEAPOLIS MN
55432-1139
US

IV. Provider business mailing address

8391 6TH ST NE
MINNEAPOLIS MN
55432-1139
US

V. Phone/Fax

Practice location:
  • Phone: 612-462-6559
  • Fax:
Mailing address:
  • Phone: 612-462-6559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. SALMA M MOHAMUD
Title or Position: PRESIDENT
Credential:
Phone: 612-462-6559