KHADAR MOHAMED YASSIN (NPI# 1619492162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619492162 |
| Entity Type | Individual |
| Full Name | KHADAR MOHAMED YASSIN |
| Practice Address |
1518 E Lake Street 202 Minneapolis MN 55407 |
| Mailing Address |
1518 E Lake St Minneapolis MN 55407-1750 |
| Practice Telephone | (612) 281-0730 |
| Mailing Telephone | 6122810730 |
| Enumeration Date | 2017-08-06 |
| Last Update Date | 2017-08-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
1518 E LAKE STREET 202 |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720644057 | Amana Home Care | Home Health | 2833 13th Ave S Suite 118, Minneapolis, MN 55407 | 2019-05-13 |
| 1356802979 | Aaron Randy Pickrel | Student in an Organized Health Care Education/Training Program | 2800 Chicago Avenue, #250, Minneapolis, MN 55407 | 2019-03-27 |
| 1053881631 | Naimo Abdisalam | Registered Nurse | 1229 East Lake Street, Minneapolis, MN 55407 | 2018-11-27 |
| 1437639614 | Kelly Usitalo | Nurse Practitioner | 913 E 26th Street, Piper Building Suite 401, Minneapolis, MN 55407 | 2018-08-17 |
| 1952880346 | Allison Hall | Internal Medicine | Minneapolis Heart Institute, 920 E 28 St. #300, Minneapolis, MN 55407 | 2018-08-07 |
| 1780176370 | Rebekah Sand | Physical Therapist | 2800 Chicage Avenue S, Suite 102, Minneapolis, MN 55407 | 2018-05-31 |
| 1417448663 | Vivian T.c. Liu | Student in an Organized Health Care Education/Training Program | 2020 E 28th Street, Suite 104, Minneapolis, MN 55407 | 2018-05-23 |
| 1053802397 | Isuroon | Counselor | 1600 East Lake Street Suite 1, Minneapolis, Mpls, MN 55407 | 2018-05-22 |
| 1154811404 | Mohamed Mukhtar Ali | Dentist | 4700 Cedar Ave S, Minneapolis, MN 55407 | 2018-05-12 |
| 1396254280 | Erin Elizabeth Casper | Registered Nurse | 3621 Oakland Ave, Minneapolis, MN 55407 | 2017-09-25 |
| Find all providers in zip 55407 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196065 | Amina Webi | Technician | 2930 Blaisdell Ave Apt 333, Minneapolis, MN 55408-2326 | 2020-08-26 |
| 1194343269 | Khadro Abdirahman Yusuf | Technician | 1500 Nicollet Ave Apt 609, Minneapolis, MN 55403-2740 | 2020-07-06 |
| 1225668999 | Ancinetta Frances Caldwell | Technician | 1730 Penn Ave N, Minneapolis, MN 55411-3054 | 2020-01-22 |
| 1578074928 | Waheed Unissa Hussain | Technician | 3650 Central Ave Ne, Minneapolis, MN 55418-1343 | 2017-10-12 |
| 1518315530 | Vongretchen Dixon | Technician | 3018 Russell Ave N, Minneapolis, MN 55411-1017 | 2016-05-31 |
| 1598149031 | Rhonda Rademacher | Technician | 5835 Oakland Ave, Minneapolis, MN 55417-3113 | 2015-07-15 |
| 1902205859 | Rahimah Ben-asad Ray-el | Technician | 5109 Vincent Ave N, Minneapolis, MN 55430-3316 | 2014-08-16 |
| 1306183355 | Sheen Shonjai Yang | Technician | 4736 Girard Ave N, Minneapolis, MN 55430-3523 | 2013-01-10 |
| 1881876639 | Lia V Xiong | Technician | 2630 Knox Ave N, Minneapolis, MN 55411-1946 | 2007-12-04 |
| 1427267095 | Peng G Xiong | Technician | 1935 Fillmore St Ne, Minneapolis, MN 55418-4607 | 2007-05-21 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55407 |
Please comment or provide details below to improve the information on KHADAR MOHAMED YASSIN.
| 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.