MEDICARE: TWINS HOME HEALTH CARE INC

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	311Z00000X	Custodial Care Facility
2	251E00000X	Home Health Agency		MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A627602000	OTHER	MN	DEPARTMENT OF HUMAN SERVS

General Provider Information

NPI Number	:	1417128513
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TWINS HOME HEALTH CARE INC

Provider Business Mailing Address
First Line	:	2533 24TH AVENUE SOUTH
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406
Country	:	US
Telephone Number	:	612-414-7739
Fax Number	:

Provider Business Practice Location Address
First Line	:	2533 24TH AVENUE SOUTH
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55406-1420
Country	:	US
Telephone Number	:	612-414-7739
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT & CO-FOUNDER
Name	:	ABDIRAHMAN DHUNKAL
Credential	:
Telephone Number	:	612-414-7739

Provider Enumeration Date	:	03/17/2008
Last Update Date	:	10/06/2021

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