Healthcare Provider Details

I. General information

NPI: 1922863711
Provider Name (Legal Business Name): IN-HOME CARE ALLIANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2024
Last Update Date: 02/20/2024
Certification Date: 02/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2738 WINNETKA AVE N STE 150M1
NEW HOPE MN
55427-2850
US

IV. Provider business mailing address

2738 WINNETKA AVE N STE 150M1
NEW HOPE MN
55427-2850
US

V. Phone/Fax

Practice location:
  • Phone: 612-709-5379
  • Fax:
Mailing address:
  • Phone:
  • 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: HAIFA AHMED
Title or Position: OWNER
Credential:
Phone: 612-709-5379