Provider Demographics
NPI:1902425796
Name:MN HOMECARE BY YUSRA ANGEL HAND LLC
Entity type:Organization
Organization Name:MN HOMECARE BY YUSRA ANGEL HAND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EXCUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ABDIRAHIM
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSURI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-226-8630
Mailing Address - Street 1:4218 GIRARD AVE N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55412-1606
Mailing Address - Country:US
Mailing Address - Phone:612-226-8630
Mailing Address - Fax:
Practice Address - Street 1:4218 GIRARD AVE N
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55412-1606
Practice Address - Country:US
Practice Address - Phone:612-226-8630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-11
Last Update Date:2020-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No174200000XOther Service ProvidersMeals
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child