Healthcare Provider Details

I. General information

NPI: 1750920203
Provider Name (Legal Business Name): UNITED HOMES SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2020
Last Update Date: 07/02/2020
Certification Date: 07/02/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14570 JOPPA AVE S
SAVAGE MN
55378-3013
US

IV. Provider business mailing address

20711 HOLT AVE UNIT 654
LAKEVILLE MN
55044-9854
US

V. Phone/Fax

Practice location:
  • Phone: 763-273-1168
  • Fax: 612-314-8716
Mailing address:
  • Phone: 612-562-0561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. MOHAMED ABDULLE FARAH
Title or Position: CEO
Credential:
Phone: 612-562-0561