MAGNOLIA HOME HEALTHCARE LLC (NPI# 1154974913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154974913 |
| Entity Type | Organization |
| Organization Name | MAGNOLIA HOME HEALTHCARE LLC |
| Practice Address |
951 Ne Lowry Ave #314 Minneapolis MN 55418 |
| Practice Telephone | 6122672005 |
| Mailing Telephone | 6122672005 |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2019-07-22 |
| Authorized Official Name | NASRO HASSAN FARAH (OWNER) |
| Authorized Official Telephone | 6122672005 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 251E00000X | Home Health | Agencies | ||
| N | 251J00000X | Nursing Care | Agencies | ||
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
951 NE LOWRY AVE #314 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347854 | Shining Light Skill Building LLC | Psychologist | 3055 Old Highway 8 Ste 106b, St. Anthony, MN 55418 | 2020-08-17 |
| 1033744008 | Star Health Services | Clinic/Center | 3055 Old High 8, Saint Anthony, MN 55418 | 2020-03-10 |
| 1255825345 | Senzilla Health Services, LLC | Clinic/Center | 3035 Old Highway 8, Suite 101f, St. Anthony, MN 55418 | 2018-06-21 |
| 1932642113 | Allyson Plumberg | Speech-Language Pathologist | 2568 Kenzie Terrace, Apt 211, St Anthony, MN 55418 | 2016-11-21 |
| 1053782961 | Exel Mobility Inc | Non-emergency Medical Transport (VAN) | 2302 Central Avenue, Minneapolis, MN 55418 | 2015-10-19 |
| 1447620893 | Bille Bus Transportation, Inc | Non-emergency Medical Transport (VAN) | 2500 Hwy 88, Suite 218, Minneapolis, MN 55418 | 2015-09-29 |
| 1508242108 | Caring Companions Home Health Care | Home Health | 3055 Old High Way 8 Suite 109, St Anthony, MN 55418 | 2015-08-05 |
| 1477934438 | Hybrid Behavioral Health | Community/Behavioral Health | 2221 Polk St Ne, Minneapolis, MN 55418 | 2015-06-16 |
| 1316343551 | Hennepin Healthcare Systems, Inc | Pharmacy | 2714 County Rd 88, Minneapolis, MN 55418 | 2014-11-17 |
| 1174939961 | Emily Rose Van Wyk | Psychologist | 2355 Benjamin St Ne, Minneapolis, MN 55418 | 2014-07-01 |
| Find all providers in zip 55418 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980603 | Estherra Care LLC | Assisted Living Facility | 1120 Morgan Ave N, Minneapolis, MN 55411-3805 | 2020-10-21 |
| 1275154262 | Ktj 292, LLC | Assisted Living Facility | 22 Malcolm Ave Se, Minneapolis, MN 55414-7584 | 2020-04-30 |
| 1548880479 | Hamdi Ali Mohamed | Assisted Living Facility | 1527 Morgan Ave N, Minneapolis, MN 55411-3013 | 2020-04-21 |
| 1801444344 | Hope Assited Living LLC | Assisted Living Facility | 1942 Washburn Ave N, Minneapolis, MN 55411-2327 | 2019-08-28 |
| 1598244980 | Wellbeing Homes LLC | Assisted Living Facility | 5525 81st Ave N, Minneapolis, MN 55443-2313 | 2018-08-07 |
| 1457837668 | Midwest Group Living Inc. | Assisted Living Facility | 3552 1st Ave S, Minneapolis, MN 55408-4509 | 2018-07-11 |
| 1366804890 | United Care Homes LLC | Assisted Living Facility | 3423 26th Ave S, Minneapolis, MN 55406-2505 | 2016-03-23 |
| 1588058911 | Eden Homes, Inc. | Assisted Living Facility | 3714 Bryant Ave N, Minneapolis, MN 55412-2157 | 2015-03-24 |
| 1407185481 | L & R Investments Inc | Assisted Living Facility | 3439 Central Ave Ne, Minneapolis, MN 55418-4579 | 2009-12-21 |
| 1154567436 | Crown Medical Home Health Agency Inc | Assisted Living Facility | 1925/1931 1st Avenue South, Minneapolis, MN 55403-3724 | 2008-12-17 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55418 |
Please comment or provide details below to improve the information on MAGNOLIA HOME HEALTHCARE LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.