SHINING ANGELS CARE LLC NPI 1083482806

NPI Information

  • NPI: 1083482806
  • Provider Name: SHINING ANGELS CARE LLC
  • Classification: Registered Nurse - 163WH0200X
  • Specialization: Home Health
  • Entity Type: Organization
  • Address: 17162 NEW MARKET DR
    EDEN PRAIRIE, MN
    ZIP 55347
  • Phone: (952) 686-8491

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NPI Details

SHINING ANGELS CARE LLC is a home health registered nurse in Eden Prairie, MN. SHINING ANGELS CARE LLC NPI is 1083482806. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17162 NEW MARKET DR
EDEN PRAIRIE, MN
ZIP 55347-331
Phone: (952) 686-8491

The provider's authorized official is Ayan Mohyidin Dhore .
The authorized official title is Registered Nurse and has the following contact phone number (952) 686-8491.

The enumeration date for this NPI number is 12/12/2023 and was last updated on 12/12/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WH0200XRegistered NurseHome HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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