Healthcare Provider Details

I. General information

NPI: 1245846385
Provider Name (Legal Business Name): QORAXEY HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2020
Last Update Date: 09/22/2020
Certification Date: 09/22/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3617 E LAKE ST STE B
MINNEAPOLIS MN
55406-2148
US

IV. Provider business mailing address

3617 E LAKE ST STE B
MINNEAPOLIS MN
55406-2148
US

V. Phone/Fax

Practice location:
  • Phone: 612-216-2116
  • Fax: 612-605-5348
Mailing address:
  • Phone: 612-216-2116
  • Fax: 612-605-5348

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ABDILLAHI OSMAN HASSAN
Title or Position: PRESIDENT
Credential:
Phone: 952-688-6568