Provider Demographics
NPI:1134748452
Name:ADEN HOME HEALTH CARE CORPORATION
Entity type:Organization
Organization Name:ADEN HOME HEALTH CARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANAB
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:ADEN.
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-701-0670
Mailing Address - Street 1:8080 EDEN RD APT 450
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-7605
Mailing Address - Country:US
Mailing Address - Phone:612-701-0670
Mailing Address - Fax:
Practice Address - Street 1:8080 EDEN RD APT 450
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-7605
Practice Address - Country:US
Practice Address - Phone:612-701-0670
Practice Address - Fax:612-353-5158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-16
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty