Provider Demographics
NPI:1164166617
Name:MAXX HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:MAXX HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAYLA
Authorized Official - Middle Name:NASIR
Authorized Official - Last Name:ABDI
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:507-923-6161
Mailing Address - Street 1:1513 US -14
Mailing Address - Street 2:1513
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55904
Mailing Address - Country:US
Mailing Address - Phone:507-923-6161
Mailing Address - Fax:
Practice Address - Street 1:1513 US -14
Practice Address - Street 2:1513
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904
Practice Address - Country:US
Practice Address - Phone:507-923-6161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-21
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health