Healthcare Provider Details

I. General information

NPI: 1851260095
Provider Name (Legal Business Name): HUMAWAYE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2145 UNIVERSITY AVE W STE 202
SAINT PAUL MN
55114-1318
US

IV. Provider business mailing address

2145 UNIVERSITY AVE W STE 202
SAINT PAUL MN
55114-1318
US

V. Phone/Fax

Practice location:
  • Phone: 612-447-8055
  • Fax: 612-447-8055
Mailing address:
  • Phone: 185-534-9486
  • Fax: 612-367-0054

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: MR. ABDIRAHIM HUSSEIN MOHAMED
Title or Position: MANAGER
Credential:
Phone: 612-367-0055