=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124296694
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AAFIYA HOME CARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/18/2008
-----------------------------------------------------
Last Update Date | 02/18/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1312 7TH ST NW SUITE 205
-----------------------------------------------------
City | ROCHESTER
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55901-1704
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 507-292-0113
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1312 7TH ST NW SUITE 205
-----------------------------------------------------
City | ROCHESTER
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55901-1704
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 507-292-0113
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER, CEO
-----------------------------------------------------
Name | MS. HAWO ABDINUR MOHAMED
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 507-292-0113
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 338789
-----------------------------------------------------
License Number State | MN
-----------------------------------------------------