MEDICARE: COMCARE SOLUTIONS 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	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	950108	OTHER	MN	HOME CARE

General Provider Information

NPI Number	:	1891385126
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMCARE SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	1567 SHERBURNE AVE
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55104-2327
Country	:	US
Telephone Number	:	612-800-2776
Fax Number	:

Provider Business Practice Location Address
First Line	:	1567 SHERBURNE AVE
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55104-2327
Country	:	US
Telephone Number	:	612-800-2776
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MOHAMED MOHAMUD
Credential	:
Telephone Number	:	612-800-2776

Provider Enumeration Date	:	01/20/2021
Last Update Date	:	01/20/2021

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Directions to “COMCARE SOLUTIONS LLC ” Practice Location

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