Provider Demographics
NPI:1962737999
Name:GENUINE HOME HEALTH CARE, INC
Entity type:Organization
Organization Name:GENUINE HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDURAHMAN
Authorized Official - Middle Name:ADEN
Authorized Official - Last Name:OSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-217-3983
Mailing Address - Street 1:2910 PILLSBURY AVE S
Mailing Address - Street 2:SUITE: 212A
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-2297
Mailing Address - Country:US
Mailing Address - Phone:612-353-9699
Mailing Address - Fax:612-454-2565
Practice Address - Street 1:2910 PILLSBURY AVE S
Practice Address - Street 2:SUITE: 212A
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-2297
Practice Address - Country:US
Practice Address - Phone:612-353-9699
Practice Address - Fax:612-454-2565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-08
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA403992000OtherMHCP -MINNESOTA HEALTH CARE PROGRAMS