=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730084971
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CEDAR HOME HEALTH SERVICES, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/08/2026
-----------------------------------------------------
Last Update Date | 10/08/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 326 CEDAR AVE S APT 8
-----------------------------------------------------
City | MINNEAPOLIS
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55454-7504
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 612-400-1189
-----------------------------------------------------
Fax | 612-545-1535
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 326 CEDAR AVE S APT 8
-----------------------------------------------------
City | MINNEAPOLIS
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55454-7504
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 612-400-1189
-----------------------------------------------------
Fax | 612-545-1535
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MR. BURHAN SHIRE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 612-400-1189
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------