Provider Demographics
NPI:1497318828
Name:HOUSING WITH CARE
Entity Type:Organization
Organization Name:HOUSING WITH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HUSSEIN
Authorized Official - Middle Name:HASSAN
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-457-5734
Mailing Address - Street 1:8200 HUMBOLDT AVE S STE 218
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55431-1432
Mailing Address - Country:US
Mailing Address - Phone:952-457-5734
Mailing Address - Fax:
Practice Address - Street 1:3001 METRO DR STE 210
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55425-1696
Practice Address - Country:US
Practice Address - Phone:952-500-8634
Practice Address - Fax:952-479-3419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-22
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health