Provider Demographics
NPI:1285359042
Name:ELEMENT HOME SERVICES LLC
Entity type:Organization
Organization Name:ELEMENT HOME SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ABDIRAHMAN
Authorized Official - Middle Name:MOHAMUD
Authorized Official - Last Name:ABDULLAHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-483-3405
Mailing Address - Street 1:150 E BURNSVILLE PKWY APT 108
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-7571
Mailing Address - Country:US
Mailing Address - Phone:612-483-3405
Mailing Address - Fax:
Practice Address - Street 1:150 E BURNSVILLE PKWY APT 108
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-7571
Practice Address - Country:US
Practice Address - Phone:612-483-3405
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-04
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health