Provider Demographics
NPI:1821564071
Name:MIDWEST HOMES, INC.
Entity Type:Organization
Organization Name:MIDWEST HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
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 1:2445 10TH AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-3826
Mailing Address - Country:US
Mailing Address - Phone:612-701-5965
Mailing Address - Fax:612-353-6508
Practice Address - Street 1:2445 10TH AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-3826
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:2018-10-15
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No251E00000XAgenciesHome Health