HIS SERVICES HOME CARE, LLC


Address: 2108 70th Avenue North, Brooklyn Park, MN 55430
Phone: 7633210541

HIS SERVICES HOME CARE, LLC (NPI# 1912549742) 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) 1912549742
Entity Type Organization
Organization Name HIS SERVICES HOME CARE, LLC
Practice Address 2108 70th Avenue North
Brooklyn Park
MN 55430
Mailing Address 2108 70th Ave N
Brooklyn Center
MN 55430-1003
Practice Telephone 7633210541
Practice Fax Number 7635664130
Mailing Telephone 7633210541
Mailing Fax Number 7635664130
Enumeration Date 2019-10-14
Last Update Date 2019-10-14
Authorized Official Name MR. SYLVESTER ALETOR ONAIWU (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 7633210541
Authorized Official Credential RN
Is Organization Subpart N

Taxonomy

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

Office Location

Street Address 2108 70TH AVENUE NORTH
City BROOKLYN PARK
State MN
Zip Code 55430

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396362182 Graceland Homes Home Health 6843 Colfax Ave N, Brooklyn Center, MN 55430 2020-06-29
1336612969 Jeremiah Sk Pojah Sr. Registered Nurse 5201 Bryant Avenue North, Suite 108, Minneapolis, MN 55430 2019-01-07
1891219697 Tamika Yvette Spicer Home Health Aide 6640 Humboldt Ave N, 101, Brooklyn Center, MN 55430 2017-08-02
1265973358 James Contois Community Based Residential Treatment Facility, Mental Illness 6120 Earle Brown Drive, Suite 100, Brooklyn Center, MN 55430 2017-03-09
1336693746 Sara Jean Cooper Dentist 1090 Shingle Creek Pkwy, Brooklyn Center, MN 55430 2016-08-15
1750732202 Miriam Home Health Corporation Residential Treatment Facility, Physical Disabilities 7030 Humboldt Avenue North, Brooklyn Center, MN 55430 2016-06-27
1649628561 Tranquility Health LLC Community/Behavioral Health 6040 Earle Brown Dr Ste 250, Brooklyn Center, MN 55430 2016-06-01
1104233790 Lillie's Helping Hands In Home Supportive Care 6407 Camden Ave N, #303, Brooklyn Center, MN 55430 2014-07-16
1063760817 Wal-mart Stores Inc Technician/Technologist 1200 Shingle Creek Crossing, Brooklyn Center, MN 55430 2012-08-28
1962712539 Chao and Doua Family Adult Foster Care Custodial Care Facility 7106 Newton Ave North, Brooklyn Center, MN 55430 2010-10-18
Find all providers in zip 55430

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
1093315780 Eco Green Corporation Home Health 3274 98th Cir N, Brooklyn Park, MN 55443-1846 2020-10-30
1336752294 Assurance Health Care Systems of Minnesota Limited Home Health 7418 75th Cir N, Brooklyn Park, MN 55428-1261 2020-08-28
1013534122 Sequence Health LLC Home Health 7420 Unity Ave N Ste 100d, Brooklyn Park, MN 55443-3136 2020-07-06
1770100521 El-lyon LLC Home Health 5501 88th Crescent North, Brooklyn Park, MN 55443 2020-06-28
1003431628 Mercy Tasiame Quentin Home Health 7310 Unity Lane North, Brooklyn Park, MN 55443 2020-06-09
1912527052 Primestone Healthcare LLC Home Health 4116 82nd Ave N, Brooklyn Park, MN 55443-2509 2020-04-18
1740816107 New Age Health Group LLC Home Health 8525 Edinbrook Xing Ste 100, Brooklyn Park, MN 55443-1967 2020-03-18
1750914735 All Wullancare Inc Home Health 7949 Florida Ave N, Brooklyn Park, MN 55445-2627 2020-02-18
1558993071 Golden Oaks Home Care LLC Home Health 7100 Maryland Ave N, Brooklyn Park, MN 55428-1667 2020-02-12
1710517313 Lydia's Best Home Health Care Home Health 7601 Morgan Ave N, Brooklyn Park, MN 55444-2427 2020-01-22
Find all providers in BROOKLYN PARK

Competitor

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City BROOKLYN PARK
Zip Code 55430

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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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