MEDICARE: DIRECTLINK HOMECARE L.L.C.

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1417775438
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIRECTLINK HOMECARE L.L.C.

Provider Business Mailing Address
First Line	:	322 W LAKE ST STE 220
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55408-5202
Country	:	US
Telephone Number	:	612-440-9690
Fax Number	:	612-503-9682

Provider Business Practice Location Address
First Line	:	322 W LAKE ST STE 220
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55408-5202
Country	:	US
Telephone Number	:	612-440-9690
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	EKRAM HASSAN KAHTAN ALYAFEI
Credential	:
Telephone Number	:	612-440-9690

Provider Enumeration Date	:	09/30/2024
Last Update Date	:	01/14/2026

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