Provider Demographics
NPI:1871382069
Name:ADEN, KHALID WARSAME
Entity type:Individual
Prefix:
First Name:KHALID
Middle Name:WARSAME
Last Name:ADEN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1165 TRAILWOOD S
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55343-7918
Mailing Address - Country:US
Mailing Address - Phone:763-306-6554
Mailing Address - Fax:
Practice Address - Street 1:1165 TRAILWOOD S
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:MN
Practice Address - Zip Code:55343-7918
Practice Address - Country:US
Practice Address - Phone:763-306-6554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty