Provider Demographics
NPI:1306171962
Name:HELPING ANGELS HOME CARE
Entity type:Organization
Organization Name:HELPING ANGELS HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABDIRIZAK
Authorized Official - Middle Name:ABDULLAHI
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-203-0078
Mailing Address - Street 1:PO BOX 8761
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-0761
Mailing Address - Country:US
Mailing Address - Phone:612-203-0078
Mailing Address - Fax:
Practice Address - Street 1:620 16TH AVE S STE 6
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55454-1150
Practice Address - Country:US
Practice Address - Phone:612-203-0078
Practice Address - Fax:612-454-2577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-14
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251J00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA818452100OtherMHCP- MINNESOTA HEALTH CARE PROGRAMS