Provider Demographics
NPI:1164130183
Name:BARUD HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:BARUD HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LIBAN
Authorized Official - Middle Name:ABDI
Authorized Official - Last Name:MOHAMOUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-224-9676
Mailing Address - Street 1:2700 E 28TH ST STE 150
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55406-1574
Mailing Address - Country:US
Mailing Address - Phone:612-224-9676
Mailing Address - Fax:612-248-8154
Practice Address - Street 1:2700 E 28TH ST STE 150
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55406-1574
Practice Address - Country:US
Practice Address - Phone:612-224-9676
Practice Address - Fax:612-248-8154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health