Provider Demographics
NPI:1528596376
Name:GOOD QUALITY HOME HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:GOOD QUALITY HOME HEALTH SERVICES, INC.
Other - Org Name:GOOD QUALITY HOME HEALTH SERVICES, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUSTAFA
Authorized Official - Middle Name:NOOR
Authorized Official - Last Name:SAID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-701-5965
Mailing Address - Street 1:4137 CHICAGO AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-3144
Mailing Address - Country:US
Mailing Address - Phone:612-701-5965
Mailing Address - Fax:612-353-6508
Practice Address - Street 1:3701 RESERVOIR BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBIA HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55421-4022
Practice Address - Country:US
Practice Address - Phone:612-701-5965
Practice Address - Fax:612-353-6508
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty