Provider Demographics
NPI:1396402749
Name:NATHIF CARE LLC
Entity Type:Organization
Organization Name:NATHIF CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KHADAR
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:SULEIMAN
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:612-636-2655
Mailing Address - Street 1:3845 HIAWATHA AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55406-3495
Mailing Address - Country:US
Mailing Address - Phone:612-636-2655
Mailing Address - Fax:
Practice Address - Street 1:3845 HIAWATHA AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55406-3495
Practice Address - Country:US
Practice Address - Phone:612-636-2655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-19
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health