Provider Demographics
NPI:1205369378
Name:KAHIN HOME HEALTH CARE
Entity Type:Organization
Organization Name:KAHIN HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MAHAD
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:KAHIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-644-2895
Mailing Address - Street 1:620 E 78TH ST
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55423
Mailing Address - Country:US
Mailing Address - Phone:612-644-2895
Mailing Address - Fax:
Practice Address - Street 1:620 E 78TH ST
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55423-4473
Practice Address - Country:US
Practice Address - Phone:612-644-2895
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNX854202154017302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization