Provider Demographics
NPI:1952857005
Name:POLARIS HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:POLARIS HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDIRASHID
Authorized Official - Middle Name:HASSAN-WALI
Authorized Official - Last Name:ABDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-777-4625
Mailing Address - Street 1:8609 LYNDALE AVE S STE 213C
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55420-2769
Mailing Address - Country:US
Mailing Address - Phone:952-777-4625
Mailing Address - Fax:952-777-4627
Practice Address - Street 1:8609 LYNDALE AVE S STE 213C
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55420-2769
Practice Address - Country:US
Practice Address - Phone:952-777-4625
Practice Address - Fax:952-777-4627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-29
Last Update Date:2017-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health