MEDICARE: LIMITLESS HEALTH CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1164164703
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIMITLESS HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	3055 OLD HIGHWAY 8 STE 214
Second Line	:
City	:	SAINT ANTHONY
State	:	MN
Zip	:	55418-2492
Country	:	US
Telephone Number	:	612-644-8021
Fax Number	:

Provider Business Practice Location Address
First Line	:	3055 OLD HIGHWAY 8 STE 214
Second Line	:
City	:	SAINT ANTHONY
State	:	MN
Zip	:	55418-2492
Country	:	US
Telephone Number	:	612-644-8021
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ADAN ABDIHOOSH
Credential	:
Telephone Number	:	612-644-8021

Provider Enumeration Date	:	04/13/2022
Last Update Date	:	04/13/2022

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