Provider Demographics
NPI:1841363330
Name:SHIFFO HOME HEALTH CARE CORPORATION
Entity type:Organization
Organization Name:SHIFFO HOME HEALTH CARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:HAMDI
Authorized Official - Middle Name:DAHIR
Authorized Official - Last Name:ADEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:507-289-5801
Mailing Address - Street 1:12 ELTON HILLS DR NW
Mailing Address - Street 2:SUITE # 207
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-3516
Mailing Address - Country:US
Mailing Address - Phone:507-289-5801
Mailing Address - Fax:507-289-5885
Practice Address - Street 1:12 ELTON HILLS DR NW
Practice Address - Street 2:SUITE # 207
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-3516
Practice Address - Country:US
Practice Address - Phone:507-289-5801
Practice Address - Fax:507-289-5885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN330591251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN308K7SHOtherBLUE CROSS AND BLUE SHIEL
MN165340OtherUCARE MN
MN308K6SHOtherBLUE CROSS AND BLUE SHIEL