MEDICARE: YUSRA 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1992384747
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YUSRA HOME HEALTH CARE INC

Provider Business Mailing Address
First Line	:	151 SILVER LAKE RD NW UNIT 2
Second Line	:
City	:	NEW BRIGHTON
State	:	MN
Zip	:	55112-8101
Country	:	US
Telephone Number	:	651-329-1724
Fax Number	:

Provider Business Practice Location Address
First Line	:	151 SILVER LAKE RD NW UNIT 2
Second Line	:
City	:	NEW BRIGHTON
State	:	MN
Zip	:	55112-8101
Country	:	US
Telephone Number	:	651-329-1724
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RAHMO NOUR MOHAMED
Credential	:
Telephone Number	:	651-329-1724

Provider Enumeration Date	:	04/07/2021
Last Update Date	:	03/07/2022

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