Provider Demographics
NPI:1891299491
Name:GUIDANCE HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:GUIDANCE HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:AISHA
Authorized Official - Middle Name:ABSHIR
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-703-9194
Mailing Address - Street 1:2529 NICOLLET AVENUE 202B
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404
Mailing Address - Country:US
Mailing Address - Phone:612-703-9194
Mailing Address - Fax:612-206-8881
Practice Address - Street 1:2529 NICOLLET AVENUE 202B
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404
Practice Address - Country:US
Practice Address - Phone:612-703-9194
Practice Address - Fax:612-206-8881
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GUIDANCE HOME HEALTH CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-03-20
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
MN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health