Provider Demographics
NPI:1265883698
Name:INSPIRED HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:INSPIRED HOME HEALTHCARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:HASSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAJI-MOHAMUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-701-2731
Mailing Address - Street 1:2817 ANTHONY LN S STE 103
Mailing Address - Street 2:
Mailing Address - City:ST ANTHONY
Mailing Address - State:MN
Mailing Address - Zip Code:55418-2489
Mailing Address - Country:US
Mailing Address - Phone:612-701-2731
Mailing Address - Fax:877-623-2009
Practice Address - Street 1:2817 ANTHONY LN S STE 103
Practice Address - Street 2:
Practice Address - City:ST ANTHONY
Practice Address - State:MN
Practice Address - Zip Code:55418-2489
Practice Address - Country:US
Practice Address - Phone:612-701-2731
Practice Address - Fax:877-623-2009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-27
Last Update Date:2017-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health