Provider Demographics
NPI:1457076465
Name:AHADI COMMUNITY SERVICES LLC
Entity Type:Organization
Organization Name:AHADI COMMUNITY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHEM
Authorized Official - Middle Name:MAGARA
Authorized Official - Last Name:OINO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:612-670-4202
Mailing Address - Street 1:10933 26TH ST NE
Mailing Address - Street 2:
Mailing Address - City:SAINT MICHAEL
Mailing Address - State:MN
Mailing Address - Zip Code:55376-7512
Mailing Address - Country:US
Mailing Address - Phone:612-670-4202
Mailing Address - Fax:
Practice Address - Street 1:10933 26TH ST NE
Practice Address - Street 2:
Practice Address - City:SAINT MICHAEL
Practice Address - State:MN
Practice Address - Zip Code:55376-7512
Practice Address - Country:US
Practice Address - Phone:612-670-4202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-11
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No252Y00000XAgenciesEarly Intervention Provider Agency
No253Z00000XAgenciesIn Home Supportive Care