Provider Demographics
NPI:1114153152
Name:KAAL HOME HEALTHCARE SERVICES, INC
Entity Type:Organization
Organization Name:KAAL HOME HEALTHCARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDULLAHI
Authorized Official - Middle Name:HUSSEIN
Authorized Official - Last Name:DAUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-298-1968
Mailing Address - Street 1:2327 E FRANKLIN AVE
Mailing Address - Street 2:SUITE 2
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55406-1795
Mailing Address - Country:US
Mailing Address - Phone:612-872-1950
Mailing Address - Fax:612-872-1788
Practice Address - Street 1:2327 E FRANKLIN AVE
Practice Address - Street 2:SUITE 2
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55406-1795
Practice Address - Country:US
Practice Address - Phone:612-872-1950
Practice Address - Fax:612-872-1788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-04
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3442323140N1450X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3140N1450XNursing & Custodial Care FacilitiesSkilled Nursing FacilityNursing Care, Pediatric