Provider Demographics
NPI:1255054326
Name:CAREX NURSING AGENCY LLC
Entity type:Organization
Organization Name:CAREX NURSING AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:HIBAQ
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:HUSSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:507-573-2516
Mailing Address - Street 1:6765 BUCKINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-2475
Mailing Address - Country:US
Mailing Address - Phone:507-573-2516
Mailing Address - Fax:218-212-0320
Practice Address - Street 1:6765 BUCKINGHAM RD
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-2475
Practice Address - Country:US
Practice Address - Phone:507-573-2516
Practice Address - Fax:612-293-2035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-22
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health