Healthcare Provider Details

I. General information

NPI: 1013851682
Provider Name (Legal Business Name): MAYA AND FAMILY HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14975 AHENA CURV
ROSEMOUNT MN
55068-0040
US

IV. Provider business mailing address

14975 AHENA CURV
ROSEMOUNT MN
55068-0040
US

V. Phone/Fax

Practice location:
  • Phone: 612-806-3952
  • Fax: 612-806-3952
Mailing address:
  • Phone: 612-806-3952
  • Fax: 612-806-3952

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: ASIYA KEDIR NEBI
Title or Position: OWNER / ADMINISTRATOR
Credential:
Phone: 612-806-3952