MEDICARE: METRO HUMAN SERVICES, 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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1992672638
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METRO HUMAN SERVICES, LLC.

Provider Business Mailing Address
First Line	:	2817 ANTHONY LN S STE 206
Second Line	:
City	:	SAINT ANTHONY
State	:	MN
Zip	:	55418-2490
Country	:	US
Telephone Number	:	612-444-0605
Fax Number	:

Provider Business Practice Location Address
First Line	:	2817 ANTHONY LN S STE 206
Second Line	:
City	:	SAINT ANTHONY
State	:	MN
Zip	:	55418-2490
Country	:	US
Telephone Number	:	612-444-0605
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	ABDULLAHI FARAH
Credential	:
Telephone Number	:	612-444-0605

Provider Enumeration Date	:	10/18/2025
Last Update Date	:	10/18/2025

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