Healthcare Provider Details

I. General information

NPI: 1053237032
Provider Name (Legal Business Name): LENITY HOME HEALTH CARE LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 6TH AVE NW STE 3
ROCHESTER MN
55901-2672
US

IV. Provider business mailing address

601 6TH AVE NW STE 3
ROCHESTER MN
55901-2672
US

V. Phone/Fax

Practice location:
  • Phone: 612-986-7361
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MOHAMUD KODAH
Title or Position: OWNER
Credential:
Phone: 612-986-7361