=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336961275
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A&I HEALTHCARE SOLUTIONS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/31/2024
-----------------------------------------------------
Last Update Date | 10/31/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7075 AMUNDSON AVE UNIT 303
-----------------------------------------------------
City | EDINA
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55439-2028
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-904-2976
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7075 AMUNDSON AVE UNIT 303
-----------------------------------------------------
City | EDINA
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55439-2028
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-904-2976
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MS. AMAL ADAWE IBRAHIM
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 310-904-2976
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251B00000X
-----------------------------------------------------
Taxonomy Name | Case Management Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------