NPI 1508752338
Home Health in Burnsville, MN
Active since June 17, 2025
About NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NPPES Registry Identity
NPI1508752338
Entity TypeOrganization
Primary Taxonomy251E00000X
Location Address15051 GREENHAVEN DR APT 210Burnsville, MN 55306-6179
Mailing Address15051 Greenhaven Dr Apt 210Burnsville, MN 55306-6179 · (612) 385-7266
Phone(612) 385-7266
Organization SubpartNo
Authorized OfficialRidwaan AbdikadirOwner · (612) 385-7266
Enumeration DateJune 17, 2025
NPPES CertifiedJune 17, 2025
✔ NPI 1508752338 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
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.
15051 GREENHAVEN DR APT 210, Burnsville, MN 55306