Provider Demographics
NPI:1922647676
Name:RIVER HILLS HOME HEALTH INC.
Entity Type:Organization
Organization Name:RIVER HILLS HOME HEALTH INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SADAD
Authorized Official - Middle Name:ABDI
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-271-7142
Mailing Address - Street 1:5913 PLEASANT AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55419-2357
Mailing Address - Country:US
Mailing Address - Phone:507-271-7142
Mailing Address - Fax:
Practice Address - Street 1:5913 PLEASANT AVE STE 103
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55419-2357
Practice Address - Country:US
Practice Address - Phone:507-271-7142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-29
Last Update Date:2019-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care