Provider Demographics
NPI:1265812903
Name:HANNAYA HOME HEALTH CARE INC.
Entity type:Organization
Organization Name:HANNAYA HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:ABDI
Authorized Official - Last Name:JAMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-886-1674
Mailing Address - Street 1:2219 OAKLAND AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-3749
Mailing Address - Country:US
Mailing Address - Phone:612-886-1674
Mailing Address - Fax:612-886-2579
Practice Address - Street 1:2219 OAKLAND AVE STE 212
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-3749
Practice Address - Country:US
Practice Address - Phone:612-886-1674
Practice Address - Fax:612-886-2579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-08
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN372339251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health