Provider Demographics
NPI:1003322504
Name:CENTRAL MINNESOTA HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:CENTRAL MINNESOTA HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ABDULLAHI
Authorized Official - Middle Name:
Authorized Official - Last Name:ELMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-423-1716
Mailing Address - Street 1:1750 VILLAGE TRL E UNIT 2
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55109-6012
Mailing Address - Country:US
Mailing Address - Phone:651-714-8388
Mailing Address - Fax:
Practice Address - Street 1:1750 VILLAGE TRL E UNIT 2
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109-6012
Practice Address - Country:US
Practice Address - Phone:651-714-8388
Practice Address - Fax:651-714-8388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-19
Last Update Date:2017-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health