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MILL CITY HOME HEALTH CARE INC.
NPI 1851947782
Assisted Living Facility in Fridley, MN

Active since August 15, 2019CLIA 24D2192423 · Waiver
384 66TH AVE NE, FRIDLEY, MN 55432(612) 281-2732 Get Directions Write a Review

NPPES record last updated: September 11, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2020, Aug 15, 2019 (2 updates tracked since 2019).

About Mill City Home Health Care Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MILL CITY HOME HEALTH CARE INC. (NPI 1851947782) is a healthcare organization registered as an assisted living facility in Fridley, Minnesota and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through September 9, 2026 and lists Mahid Farah Hirsi, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1851947782
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameMILL CITY HOME HEALTH CARE INC.
Location Address384 66TH AVE NEFridley, MN 55432-4401
Mailing Address384 66th Ave NeFridley, MN 55432-4401 · (612) 281-2732
Phone(612) 281-2732
Organization SubpartNo
Authorized OfficialMahid Farah HirsiOwner/manager · (612) 281-2732
Enumeration DateAugust 15, 2019
Last NPPES UpdateSeptember 11, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2020
✔ NPI 1851947782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
Also ListedHome HealthTaxonomy 251E00000X
Also ListedNursing CareTaxonomy 251J00000X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
384 66TH AVE NE, Fridley, MN 55432
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2192423

Mill City Home Health Care Inc · Fridley, MN
Active · expires Sep 9, 2026
CLIA Number24D2192423
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 10, 2024
Certificate Expiration DateSeptember 9, 2026
Laboratory DirectorMahid F. Hirsi
Laboratory Phone(612) 281-2732
Laboratory LocationMill City Home Health Care Inc384 66th Ave NE, Fridley, MN 55432
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mill City Home Health Care Inc.'s NPI number?

The NPI number for Mill City Home Health Care Inc. is 1851947782. It was assigned to this organization in the NPPES registry on August 15, 2019.

Where is Mill City Home Health Care Inc. located?

Mill City Home Health Care Inc. is located at 384 66th Ave NE, Fridley, MN 55432. The listed phone number is (612) 281-2732.

What is Mill City Home Health Care Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Mill City Home Health Care Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2192423) is associated with this NPI, valid through September 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mill City Home Health Care Inc. was last updated on September 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.