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General NPI Number Information
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NPI Number | 1285155747
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Entity Type | Organization
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Legal Business Name | AMERICAN HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 07/05/2017
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Last Update Date | 06/28/2025
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Provider Practice Location Address
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Address Line | 10103 SHADYVIEW LN N
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City | MAPLE GROVE
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State | MN
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Zip | 55311-5713
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Country | US
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Telephone | 763-334-6957
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Fax | 763-334-6958
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Provider Business Mailing Address
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Address Line | 10103 SHADYVIEW LN N
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City | MAPLE GROVE
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State | MN
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Zip | 55311-5713
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Country | US
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Telephone | 763-334-6957
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Fax | 763-334-6958
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMA YUSUF MOHAMOD
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Credential |
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Telephone | 612-724-0000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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