MEDICARE: DRVEN CARE

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	251K00000X	Public Health or Welfare Agency

General Provider Information

NPI Number	:	1437866134
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRVEN CARE

Provider Business Mailing Address
First Line	:	2339 LOGAN AVE N
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55411-1974
Country	:	US
Telephone Number	:	612-298-7754
Fax Number	:

Provider Business Practice Location Address
First Line	:	2339 LOGAN AVE N
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55411-1974
Country	:	US
Telephone Number	:	612-298-7754
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ALI MOHAMED IBRAHIM
Credential	:
Telephone Number	:	612-298-7754

Provider Enumeration Date	:	11/02/2022
Last Update Date	:	11/02/2022

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Directions to “DRVEN CARE ” Practice Location

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