Healthcare Provider Details

I. General information

NPI: 1295668572
Provider Name (Legal Business Name): ELOHIM CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

626 ARMSTRONG AVE STE 102
SAINT PAUL MN
55102-3800
US

IV. Provider business mailing address

626 ARMSTRONG AVE STE 102
SAINT PAUL MN
55102-3800
US

V. Phone/Fax

Practice location:
  • Phone: 202-621-4261
  • Fax:
Mailing address:
  • Phone: 202-621-4261
  • 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: KALKIDAN WORKU
Title or Position: OWNER
Credential:
Phone: 202-621-4261