Provider Demographics
NPI:1629735766
Name:MUBARAK HOME HEALTHCARE SERVICES. LLC
Entity Type:Organization
Organization Name:MUBARAK HOME HEALTHCARE SERVICES. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:MUNA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:MAHAMUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-340-6454
Mailing Address - Street 1:100 S 5TH ST STE 1900
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55402-1267
Mailing Address - Country:US
Mailing Address - Phone:763-340-6454
Mailing Address - Fax:612-605-6001
Practice Address - Street 1:100 S 5TH ST STE 1900
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55402-1267
Practice Address - Country:US
Practice Address - Phone:763-340-6454
Practice Address - Fax:612-605-6001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-23
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health