Provider Demographics
NPI:1043564545
Name:CONTINENTAL HOME HEALTH-AIDE INC
Entity Type:Organization
Organization Name:CONTINENTAL HOME HEALTH-AIDE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:
Authorized Official - Last Name:KAHIN
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:952-393-7426
Mailing Address - Street 1:122 23RD ST S
Mailing Address - Street 2:SUITE F8
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-1300
Mailing Address - Country:US
Mailing Address - Phone:952-393-7426
Mailing Address - Fax:701-235-4317
Practice Address - Street 1:122 23RD ST S
Practice Address - Street 2:SUITE F8
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-1300
Practice Address - Country:US
Practice Address - Phone:952-393-7426
Practice Address - Fax:701-235-4317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-05
Last Update Date:2012-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND32396800251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND34665Medicaid