Provider Demographics
NPI:1417574641
Name:HERO HOME HEALTH CARE L L C
Entity Type:Organization
Organization Name:HERO HOME HEALTH CARE L L C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING DIRECTOR.
Authorized Official - Prefix:MR
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:ABDIQAFAR
Authorized Official - Last Name:HUSSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-558-2463
Mailing Address - Street 1:2275 SNELLING AVE N APT 110
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-4282
Mailing Address - Country:US
Mailing Address - Phone:612-558-2463
Mailing Address - Fax:
Practice Address - Street 1:2275 SNELLING AVE N APT 110
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-4282
Practice Address - Country:US
Practice Address - Phone:612-558-2463
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-04
Last Update Date:2020-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health