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GENEROUS HOME CARE SERVICES INC NPI 1891397139


NPI Information

NPI: 1891397139
Provider Name: GENEROUS HOME CARE SERVICES INC
Classification: Registered Nurse - 163WH0200X
Entity Type: Organization

Specialization: Home Health

CLIA Number: 24D2213466

Address:
3835 SARATOGA LN N
PLYMOUTH, MN
ZIP 55441
Phone: (612) 235-1680
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GENEROUS HOME CARE SERVICES INC is a home health registered nurse in Plymouth, MN. GENEROUS HOME CARE SERVICES INC NPI is 1891397139. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3835 SARATOGA LN N
PLYMOUTH, MN
ZIP 55441-514
Phone: (612) 235-1680

The provider's authorized official is Sucdi Mohamed Ahmed .
The authorized official title is Owner/manager and has the following contact phone number (612) 235-1680.

The CLIA number assigned to this NPI record is 24D2213466 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/11/2020 and was last updated on 11/11/2020.


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: 5/5/2024

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