Healthcare Provider Details

I. General information

NPI: 1073449799
Provider Name (Legal Business Name): HALA HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 1ST AVE NE STE 225B
ROCHESTER MN
55906-1000
US

IV. Provider business mailing address

1500 1ST AVE NE STE 225B
ROCHESTER MN
55906-1000
US

V. Phone/Fax

Practice location:
  • Phone: 507-701-6535
  • Fax: 507-540-8662
Mailing address:
  • Phone: 507-701-6535
  • Fax: 507-540-8662

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: RADWA MOHAMMED RUDWA ABDALLAH
Title or Position: REGISTERED NURSE
Credential: BS
Phone: 507-202-7186