SHAKUR ABDISALAM


Address: 1440 E Old Shakopee Rd, Bloomington, MN 55425-2438
Phone: 9522014493

SHAKUR ABDISALAM (NPI# 1194326942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194326942
Entity Type Individual
Full Name SHAKUR ABDISALAM
Practice Address 1440 E Old Shakopee Rd
Bloomington
MN 55425-2438
Practice Telephone 9522014493
Mailing Telephone 9522014493
Enumeration Date 2020-11-06
Last Update Date 2020-11-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health 397226 MN Agencies

Office Location

Street Address 1440 E OLD SHAKOPEE RD
City BLOOMINGTON
State MN
Zip Code 55425-2438

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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740801323 Suburban Home Health Care Agency, LLC Home Health 9400 Old Cedar Ave S Apt 135, Bloomington, MN 55425-2424 2020-05-05
1417583873 Kelly Collier Home Health 1905 N Monroe St, Bloomington, IN 47404-2141 2020-03-18
1942848296 Unlimited Home Health Care Home Health 8112 Wentworth Ave S, Bloomington, MN 55420-1109 2019-12-17
1720624810 Sunshine Assisted Living Services LLC Home Health 9540 Columbus Ave S, Bloomington, MN 55420 2019-11-23
1952857005 Polaris Home Health Care Inc Home Health 8609 Lyndale Ave S Ste 213c, Bloomington, MN 55420-2769 2016-08-29
1831596345 Priority Homes LLC Home Health 1713 W 85th St, Bloomington, MN 55431-1751 2014-11-26
1255736583 Estherra Care LLC Home Health 7437 Bristol Village Curv, Bloomington, MN 55438-2565 2014-10-29
1578902250 Promise Care, Inc Home Health 7900 International Drive, Suite 300, Bloomington, MN 55425 2013-06-17
1164769790 Hands At Home, LLC Home Health 7110 S Leisure Ln, Bloomington, IN 47401-9090 2013-01-16
1093051690 Welcome Home Residential Care, LLC Home Health 8466 Kell Ave S, Bloomington, MN 55437-1502 2012-12-31
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Competitor

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City BLOOMINGTON
Zip Code 55425

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Dataset Information

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.

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