Provider Demographics
NPI:1790449452
Name:AMERICAN FAMILY HEALTHCARE,INC
Entity Type:Organization
Organization Name:AMERICAN FAMILY HEALTHCARE,INC
Other - Org Name:HOME HELPERS HOME CARE OF ST. LOUIS PARK, MN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:YOUSUF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-744-7960
Mailing Address - Street 1:3620 CENTRAL AVE NE STE 16
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55418-4844
Mailing Address - Country:US
Mailing Address - Phone:763-744-7960
Mailing Address - Fax:
Practice Address - Street 1:3620 CENTRAL AVE NE STE 16
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55418-4844
Practice Address - Country:US
Practice Address - Phone:763-744-7960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-28
Last Update Date:2022-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care